Elizabeth Park DDS

NPI 1003999889 - Dentist - 122300000X

NPI Details
NPI 1003999889
Gender Female
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
501 S DIVISION ST
CARSON CITY NV, 89703, US
Phone (775) 882-1195
Fax (775) 882-3037
Business Location
290 ALLERMAN LN
GARDNERVILLE NY, 89460, US
Phone (775) 782-8034
Fax (775) 882-3037
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 52098
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According to our database, Elizabeth Park DDS NPI is 1003999889, taxonomy code is 122300000X and license number is 52098, license state is located at California. Elizabeth Park DDS physically located at 501 S Division St, Carson City NV, 89703. NPI Number Elizabeth Park DDS has the Individual type.

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1003999889 NPI number is provided on an as is basis without warranty of any kind. 1003999889 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Park DDS are for informational purposes only.