Organization
JOSEPH L. ELIASON, DDS, MSD, APC
Active
Other names
SMILE Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ELIASON DDS, MSD (OWNER DOCTOR)
(707) 548-4880
Entity
Organization
Contact information
Practice address
1880 SONOMA AVE, SANTA ROSA, CA 95405-4953
(707) 546-4880
(707) 546-0166
Mailing address
1880 SONOMA AVE, SANTA ROSA, CA 95405-4953
(707) 546-4880
(707) 546-0166
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64553
CA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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