Individual
DR. ELYSIA AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2211 S EOLA RD STE D, AURORA, IL 60503-6485
(630) 851-5280
(630) 851-5377
Mailing address
2525 RED HAWK RIDGE DR, AURORA, IL 60503-6295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026799
IL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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