Individual
TRILBY JADE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
606 N 1700 W, VERNAL, UT 84078-8200
(435) 789-1748
Mailing address
1543 LA MESA CIR, RANGELY, CO 81648-3811
(970) 629-9198
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6230136-9920
UT
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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