Individual
DR. JOSEPH ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1880 SONOMA AVE, SANTA ROSA, CA 95405-4953
(707) 546-4883
Mailing address
1880 SONOMA AVE, SANTA ROSA, CA 95405-4953
(707) 546-4883
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64553
CA
Other
Enumeration date
04/22/2014
Last updated
07/14/2015
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