Organization
ELISA HERRMAN DMD LLC
Active
Other names
Wilsonville Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA HERRMAN DMD, MS (MANAGER)
(269) 605-9408
Entity
Organization
Contact information
Practice address
9475 SW WILSONVILLE RD, WILSONVILLE, OR 97070-7522
(269) 605-9408
Mailing address
2518 NE 163RD ST, RIDGEFIELD, WA 98642-7975
(269) 605-9408
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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