Elissa Heard Dmd Pc

NPI 1013060235 - Dentist - 1223G0001X

NPI Details
NPI 1013060235
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELISSA ELISSA
Position DENTIST OWNER
Phone (617) 471-8640
Fax (617) 471-9328
Practice Location
111 WILLARD ST 1B
QUINCY MA, 02169, US
Phone (617) 471-8640
Fax (617) 471-9328
Business Location
111 WILLARD ST 1B
QUINCY MA, 02169, US
Phone (617) 471-8640
Fax (617) 471-9328
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 17259
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According to our database, Elissa Heard Dmd Pc NPI is 1013060235, taxonomy code is 1223G0001X and license number is 17259, license state is located at Massachusetts. Elissa Heard Dmd Pc physically located at 111 Willard St 1b, Quincy MA, 02169. NPI Number 1033115704 has the healthcare provider type.

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1013060235 NPI number is provided on an as is basis without warranty of any kind. 1013060235 is maintained by the National Plan & Provider Enumeration System. The contents of Elissa Heard Dmd Pc are for informational purposes only.