| Elizabeth Ellen Dmd | |
|
659 Valley Rd Wayne NJ 07470-3529 | |
| (973) 694-8082 | |
| Not Available |
| Full Name | Elizabeth Ellen Dmd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 659 Valley Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Elizabeth K Ellen (OWNER) |
| Authorized Official Contact | 9736948082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ellen Dmd 659 Valley Rd Wayne NJ 07470-3529 Ph: (973) 694-8082 | Elizabeth Ellen Dmd 659 Valley Rd Wayne NJ 07470-3529 Ph: (973) 694-8082 |
| NPI Number | 1225159320 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225159320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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