Individual
DR. MARIANA C ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6 ATLANTIC STREET, BRIDGETON, NJ 08302
(856) 455-4095
(856) 455-5292
Mailing address
6 ATLANTIC STREET, BRIDGETON, NJ 08302
(856) 455-4095
(856) 455-5292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD2554
NM
1223G0001X
General Practice Dentistry
Primary
22DI02582800
NJ
1223G0001X
General Practice Dentistry
DS039544
PA
Other
Enumeration date
10/14/2005
Last updated
06/20/2018
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