Individual
ELISE ZLOTNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
(801) 618-0197
Mailing address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
(801) 618-0197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14251670-9926
UT
1223G0001X
General Practice Dentistry
Primary
12705
TN
1223G0001X
General Practice Dentistry
Primary
14251670-9926
UT
Other
Enumeration date
01/27/2023
Last updated
02/10/2026
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