| Mariana C Elwell Dds Fagd Pc | |
|
6 Atlantic St Bridgeton NJ 08302-1829 | |
| (856) 455-4095 | |
| (856) 455-5292 |
| Full Name | Mariana C Elwell Dds Fagd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6 Atlantic St, Bridgeton, New Jersey |
| Authorized Official Name and Position | Mariana C Elwell (PRESIDENT) |
| Authorized Official Contact | 8564554095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariana C Elwell Dds Fagd Pc 3129 Country Ln Vineland NJ 08361-8634 Ph: (856) 506-9351 | Mariana C Elwell Dds Fagd Pc 6 Atlantic St Bridgeton NJ 08302-1829 Ph: (856) 455-4095 |
| NPI Number | 1306322086 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306322086 | NPI | - | NPPES |
| 1265421986 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02582800 (New Jersey) | Primary |
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