| Elloway & Wonenberg, D.d.s., A Professional Dental Corporation | |
|
1519 2nd St Eureka CA 95501-0701 | |
| (707) 442-1140 | |
| (707) 442-1038 |
| Full Name | Elloway & Wonenberg, D.d.s., A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1519 2nd St, Eureka, California |
| Authorized Official Name and Position | Kerisa Sue Elloway (OWNER) |
| Authorized Official Contact | 7074421140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elloway & Wonenberg, D.d.s., A Professional Dental Corporation 1519 2nd St Eureka CA 95501-0701 Ph: (707) 442-1140 | Elloway & Wonenberg, D.d.s., A Professional Dental Corporation 1519 2nd St Eureka CA 95501-0701 Ph: (707) 442-1140 |
| NPI Number | 1275664484 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275664484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49706 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 47254 (California) | Primary |
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T.f. Vert Dds.p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 Harris St, Eureka, CA 95503 Phone: 707-443-3005 Fax: 707-443-1467 | |
Darla D Dale, Bsdh, Rdhap Dental Hygiene Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2822 E St, Eureka, CA 95501 Phone: 707-497-6250 Fax: 707-497-6251 | |
Growing Smiles Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2787 Harris St, Suite A, Eureka, CA 95503 Phone: 707-443-6781 Fax: 707-443-6719 | |
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Kenneth S Singleton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Harris St, Eureka, CA 95503 Phone: 707-442-5739 Fax: 707-442-9013 |