Lark G Elliott

NPI #1437386117 in Park City, Utah

Provider Information

NPI Number
1437386117
Entity Type
Individual
Name
Lark G Elliott
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
Jun 19, 2009
Last Updated
Jun 19, 2009

Practice Location

Address
1729 SIDEWINDER DR STE 102
State
Utah
ZIP Code
84060-7322
Phone
(435) 649-9492

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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