| Granite View Dental | |
|
850 E 9400 S Ste 100 Sandy UT 84094-3674 | |
| (801) 255-2100 | |
| Not Available |
| Full Name | Granite View Dental |
|---|---|
| Speciality | Dentist |
| Location | 850 E 9400 S Ste 100, Sandy, Utah |
| Authorized Official Name and Position | William John Ellingson (OWNER) |
| Authorized Official Contact | 8012552100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite View Dental 850 E 9400 S Ste 100 Sandy UT 84094-3674 Ph: (801) 255-2100 | Granite View Dental 850 E 9400 S Ste 100 Sandy UT 84094-3674 Ph: (801) 255-2100 |
| NPI Number | 1720587629 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720587629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8414288 (Utah) | Primary |
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