| NPI | 1104697838 |
|---|---|
| Doing Business As | ELEVATE PEDIATRIC DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | GAGE WILLIAMS Owner/Operator 801-636-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-19 |