Individual
DANIEL M ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6087 S REDWOOD RD, TAYLORSVILLE, UT 84123-6853
(801) 969-7282
Mailing address
6087 S REDWOOD RD, TAYLORSVILLE, UT 84123-6853
(801) 969-7282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
145305-9922
UT
Other
Enumeration date
04/16/2007
Last updated
01/16/2013
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