Individual
DR. UPALI ELAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
951 MAIN ST STE 100, UNION GROVE, WI 53182-1074
(262) 878-2422
Mailing address
951 MAIN ST STE 100, UNION GROVE, WI 53182-1074
(262) 878-2422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001913-15
WI
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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