GARY LYNN ELLIS

SALT LAKE CITY, UT
NPI1700840717
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: UT  5129775-9921)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
DR. GARY LYNN ELLIS DDS
500 CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-583-2787
Mailing Address
DR. GARY LYNN ELLIS DDS
500 CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-583-2787