| Elise Newsome Dds Pa | |
|
1101 West Friendly Ave Suite B Greensboro NC 27401 | |
| (336) 274-6073 | |
| Not Available |
| Full Name | Elise Newsome Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1101 West Friendly Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Elise Michelle Newsome (PRESIDENT) |
| Authorized Official Contact | 3362746073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Newsome Dds Pa 1101 West Friendly Ave Suite B Greensboro NC 27401 Ph: () - | Elise Newsome Dds Pa 1101 West Friendly Ave Suite B Greensboro NC 27401 Ph: (336) 274-6073 |
| NPI Number | 1194231340 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194231340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9021 (North Carolina) | Primary |
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