| NPI | 1720587629 |
|---|---|
| Doing Business As | GRANITE VIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN ELLINGSON Owner 801-255-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 8414288) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |