Organization
JASON PAUL ELLIOTT DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PAUL ELLIOTT DDS (MEMBER)
(443) 622-3180
Entity
Organization
Contact information
Practice address
809 N HAMMONDS FERRY RD, LINTHICUM, MD 21090-1317
(410) 789-6111
Mailing address
1202 HARBOR ISLAND WALK, BALTIMORE, MD 21230-5460
(443) 622-3180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12815
MD
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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