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1033329669
TIMOTHY B. ELISON
SOUTH JORDAN, UT
NPI
1033329669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT 4761040-9922)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY B. ELISON D.M.D.
3556 W 9800 S SUITE 103
SOUTH JORDAN, UT 84095-3211
Phone number: 801-446-3549
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Mailing Address
Dr. TIMOTHY B. ELISON D.M.D.
3556 W 9800 S SUITE 103
SOUTH JORDAN, UT 84095-3211
Phone number: 801-446-3549
Copy
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