Individual
MARIA LUISA ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
370 BOSTON POST RD, SUDBURY, MA 01776
(978) 443-5193
(978) 443-4063
Mailing address
370 BOSTON POST RD, SUDBURY, MA 01776
(978) 443-5193
(978) 443-4063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16735
MA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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