Individual
DR. ELLIOT R WILLIS-ORLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4201 RUCKER AVE, EVERETT, WA 98203-2215
(425) 789-3789
Mailing address
4201 RUCKER AVE, EVERETT, WA 98203-2215
(425) 789-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61629885
WA
1223G0001X
General Practice Dentistry
DT-3183
HI
Other
Enumeration date
02/22/2024
Last updated
04/01/2025
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