PRESTON CHAD ELLIS

PROVO, UT
NPI1518215458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  270828-9923)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
DR. PRESTON CHAD ELLIS MS, DDS
3575 N 100 E STE 200
PROVO, UT 84604-6653
Phone number: 801-374-0070
Mailing Address
DR. PRESTON CHAD ELLIS MS, DDS
3575 N 100 E STE 200
PROVO, UT 84604-6653
Phone number: 801-374-0070
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