| Elite Dental | |
|
3280 W 3500 S #3 West Valley UT 84119-2668 | |
| (801) 969-2121 | |
| Not Available |
| Full Name | Elite Dental |
|---|---|
| Speciality | Dentist |
| Location | 3280 W 3500 S, West Valley, Utah |
| Authorized Official Name and Position | Amira A Hassan (PRESIDENT) |
| Authorized Official Contact | 8019692121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental 3280 W 3500 S #3 West Valley UT 84119 Ph: () - | Elite Dental 3280 W 3500 S #3 West Valley UT 84119-2668 Ph: (801) 969-2121 |
| NPI Number | 1851607402 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851607402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 69371998903 (Utah) | Primary |
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