DR. GARY ELLIS, DDS
Dentist - Oral and Maxillofacial Pathology
Active
Individual
NPI: 1700840717
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Pathology | 1223P0106X | Yes | 5129775-9921 (UT) |
Frequently Asked Questions
NPI 1700840717 is the National Provider Identifier for DR. GARY ELLIS, DDS, a Dentist - Oral and Maxillofacial Pathology provider located in Salt Lake City, UT. This NPI was enumerated on April 14, 2006.
DR. GARY ELLIS, DDS practices at 500 CHIPETA WAY, Salt Lake City, UT 84108.
Quick Facts
- NPI
- 1700840717
- Type
- Individual
- Enumerated
- Apr 14, 2006
- Last Updated
- Jul 8, 2007
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