# ELLIOT DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548419906
- **Authorized official:** ROBYN RAE SKIPPER COO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (480) 963-6300

## Contact information

- **Practice address:** 2987 W ELLIOT RD, SUITE 1, CHANDLER, AZ 85224-1669
- **Practice address phone:** (480) 963-6300
- **Practice address fax:** (480) 963-8499
- **Mailing address:** 2987 W ELLIOT RD, SUITE 1, CHANDLER, AZ 85224-1669
- **Mailing address phone:** (480) 963-6300
- **Mailing address fax:** (480) 963-8499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3889 | AZ | Yes |

## Other

- **Enumeration date:** 09/10/2008
- **Last updated:** 09/10/2008