Stansbury Park Orthodontics
NPI #1528385085 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1528385085
- Entity Type
- Organization
- Organization Name
- Stansbury Park Orthodontics
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Apr 23, 2010
- Last Updated
- Apr 23, 2010
Practice Location
- Address
- 263 COUNTRY CLUB
- Address 2
- STE. 104
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074
- Phone
- (435) 579-3800
Authorized Official
- Name
- DR. TIMOTHY B ELISON
- Title
- PRESIDENT
- Phone
- (435) 579-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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