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Organization
JASON PAUL ELLIOTT DDS LLC
Active
Organization
JASON PAUL ELLIOTT DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PAUL ELLIOTT DDS (MEMBER)
(443) 622-3180
Entity
Organization
Contact information
Practice address
809 N HAMMONDS FERRY RD, LINTHICUM, MD 21090-1317
(410) 789-6111
Mailing address
1202 HARBOR ISLAND WALK, BALTIMORE, MD 21230-5460
(443) 622-3180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12815
MD
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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