Individual
ELIZABETH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3108 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 252-9557
(972) 257-8322
Mailing address
3108 N MACARTHUR BLVD, IRVING, TX 75062-4451
(817) 933-9816
(972) 257-8322
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120954608
—
TX
05
—
3191173-01
—
TX
Enumeration date
09/25/2006
Last updated
10/24/2022
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