Individual
RIINA ELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 E LEHIGH AVE, PEDIATRIC DENTISTRY RESIDENCY PROGRAM, PHILADELPHIA, PA 19125-1012
(215) 707-1020
(215) 707-0083
Mailing address
770 MILES RD, WEST CHESTER, PA 19380-1950
(609) 792-3237
(609) 792-3237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DL10076
MA
1223P0221X
Pediatric Dentistry
Primary
DS038217
PA
Other
Enumeration date
04/09/2009
Last updated
03/23/2022
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