Individual
ELIZABETH JENE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
604 N. THOMAS ST., SOUTH HILL, VA 23970
(434) 447-4464
(434) 447-2249
Mailing address
P.O.B. 599, 604 N. THOMAS ST., SOUTH HILL, VA 23970
(434) 447-4464
(434) 447-2249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207520
VA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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