Whalio Doctors

NPI 1245745413

Trilby Jade Elam, RDH

Practitioner Dental Hygienist Vernal, UT

Practice location

Address
606 N 1700 W, Vernal, UT 84078-8200
Phone
(435) 789-1748
Mailing address
1543 La Mesa Cir, Rangely, CO 81648-3811

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 6230136-9920 (UT)

Registry record

NPI
1245745413
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Dec 2017
Record last updated
9 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.