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1700840717
GARY LYNN ELLIS
SALT LAKE CITY, UT
NPI
1700840717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: UT 5129775-9921)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
DR. GARY LYNN ELLIS DDS
500 CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-583-2787
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Mailing Address
DR. GARY LYNN ELLIS DDS
500 CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-583-2787
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