Individual
ALLISON CLARE EVERETT ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18100 MACK AVE, GROSSE POINTE, MI 48230-6252
(313) 884-6680
Mailing address
18100 MACK AVE, GROSSE POINTE, MI 48230-6252
(313) 884-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.030996
IL
1223G0001X
General Practice Dentistry
Primary
2901021838
MI
Other
Enumeration date
05/10/2016
Last updated
11/15/2018
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