Elenbaas & Doty, Pllc

NPI 1053547794 - Dentist - 1223G0001X

NPI Details
NPI 1053547794
Enumeration Date 06/09/2009
Last Updated 06/09/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ANDREA BURGER ANDREA
Position OWNER/DENTIST
Phone (228) 896-1840
Fax (228) 604-4449
Practice Location
1924 E PASS RD
GULFPORT MS, 39507-3715, US
Phone (228) 896-1840
Fax (228) 604-4449
Business Location
1924 E PASS RD
GULFPORT MS, 39507-3715, US
Phone (228) 896-1840
Fax (228) 604-4449
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 0293496
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According to our database, Elenbaas & Doty, Pllc NPI is 1053547794, taxonomy code is 1223G0001X and license number is 0293496, license state is located at Mississippi. Elenbaas & Doty, Pllc physically located at 1924 E Pass Rd, Gulfport MS, 39507-3715. NPI Number 1033115704 has the healthcare provider type.

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1053547794 NPI number is provided on an as is basis without warranty of any kind. 1053547794 is maintained by the National Plan & Provider Enumeration System. The contents of Elenbaas & Doty, Pllc are for informational purposes only.