Elite Dental | |
218 N West State Rd American Fork UT 84003-1419 | |
(801) 763-7737 | |
(801) 763-7757 |
Full Name | Elite Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 218 N West State Rd, American Fork, Utah |
Authorized Official Name and Position | Steven Braithwaite (OWNER) |
Authorized Official Contact | 8017637737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Dental 218 N West State Rd American Fork UT 84003-1419 Ph: (801) 763-7737 | Elite Dental 218 N West State Rd American Fork UT 84003-1419 Ph: (801) 763-7737 |
NPI Number | 1477892685 |
---|---|
Provider Enumeration Date | 02/07/2013 |
Last Update Date | 02/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477892685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5148371-9922 (Utah) | Secondary |
1223G0001X | Dentist - General Practice | 5070492-9922 (Utah) | Primary |
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