Russell Wirthlin Farnsworth, DDS

NPI #1215987797 in South Jordan, Utah

Provider Information

NPI Number
1215987797
Entity Type
Individual
Name
Russell Wirthlin Farnsworth, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
May 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2651 W 10400 S
Address 2
SUITE 103
State
Utah
ZIP Code
84095-8953
Phone
(801) 446-1515

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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