Elite Dental

NPI #1851607402 in West Valley, Utah

Provider Information

NPI Number: 1851607402
Entity Type: Organization
Organization Name: Elite Dental
Primary Specialty: Dentist
Enumeration Date: Aug 20, 2010
Last Updated: Aug 20, 2010

Practice Location

Address: 3280 W 3500 S
Address 2: #3
City: West Valley
State: Utah
ZIP Code: 84119-2668
Phone: (801) 969-2121

Authorized Official

Name: AMIRA A HASSAN
Title: PRESIDENT
Phone: (801) 969-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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