Individual
DR. ELIZABETH T PRISHKULNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
490B W ZIA RD, SANTA FE, NM 87505-7008
(505) 428-7878
Mailing address
490B W ZIA RD, SANTA FE, NM 87505-7008
(505) 428-7878
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
04805
NY
1223P0221X
Pediatric Dentistry
Primary
DD2707
NM
Other
Enumeration date
10/11/2005
Last updated
06/29/2012
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