Individual
DR. ELISA GIORDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
681 S MAIN ST STE 300, KELLER, TX 76248-7036
(817) 741-4455
Mailing address
681 S MAIN ST STE 300, KELLER, TX 76248-7036
(817) 741-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
PENDING
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36226
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
03/28/2018
Last updated
11/19/2020
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