William J Ellingson Dmd Pllc

NPI #1720587629 in Sandy, Utah

Provider Information

NPI Number: 1720587629
Entity Type: Organization
Organization Name: William J Ellingson Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2018
Last Updated: Feb 6, 2018

Practice Location

Address: 850 E 9400 S STE 100
City: Sandy
State: Utah
ZIP Code: 84094-3674
Phone: (801) 255-2100

Authorized Official

Name: DR. WILLIAM JOHN ELLINGSON, DMD
Title: OWNER
Phone: (801) 255-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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