Individual
VALERIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N SALISBURY BLVD, SALISBURY, MD 21801-4120
(410) 334-3401
(410) 546-5099
Mailing address
108 E MAIN ST, SALISBURY, MD 21801-4921
(410) 334-3401
(410) 546-5099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4169433 00
—
MD
Enumeration date
01/06/2017
Last updated
01/06/2017
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