Organization
WILLIAM J ELLINGSON DMD PLLC
Active
Other names
Granite View Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHN ELLINGSON DMD (OWNER)
(801) 255-2100
Entity
Organization
Contact information
Practice address
850 E 9400 S STE 100, SANDY, UT 84094-3674
(801) 255-2100
Mailing address
850 E 9400 S STE 100, SANDY, UT 84094-3674
(801) 255-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8414288
UT
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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