Elison Dental Center
NPI #1932368222 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1932368222
- Entity Type
- Organization
- Organization Name
- Elison Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 3, 2008
- Last Updated
- Jun 3, 2008
Practice Location
- Address
- 3656 WASHINGTON PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7573
- Phone
- (208) 522-7216
Authorized Official
- Name
- DR. MICHAEL AARON ELISON, DMD
- Title
- PRESIDENT
- Phone
- (208) 522-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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