Individual
DR. ELENA IACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4222 TRINITY MILLS RD STE 250, DALLAS, TX 75287-7655
(214) 646-0870
Mailing address
8015 N MACARTHUR BLVD APT 2055, IRVING, TX 75063-6155
(909) 528-5440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24246
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
54979
CA
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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