Organization
SARATOGA SPRINGS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B. ELISON (MANAGER)
(801) 768-4554
Entity
Organization
Contact information
Practice address
76 E. COMMERCE DRIVE, SUITE 201, SARATOGA SPRINGS, UT 84045
(801) 768-4554
Mailing address
76 E. COMMERCE DRIVE, SUITE 201, SARATOGA SPRINGS, UT 84045
(801) 768-4554
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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