Individual
DR. DONALD G ELITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4585 WASHINGTON ST, FLORISSANT, MO 63033-5858
(314) 837-4800
Mailing address
4585 WASHINGTON ST, FLORISSANT, MO 63033-5858
(314) 837-4800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11993
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11993
STATE LICENSE NUMBER
MO
Enumeration date
08/14/2006
Last updated
07/08/2007
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