DR. Eli Garth Edmunds, D.D.S.

NPI #1205958543 in Draper, Utah

Provider Information

NPI Number: 1205958543
Entity Type: Individual
Name: DR. Eli Garth Edmunds, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12465 FORT ST # 100
City: Draper
State: Utah
ZIP Code: 84020-9363
Phone: (801) 576-1167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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