Organization
ELLIFF DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA K ELLIFF (PRESIDENT)
(630) 450-3572
Entity
Organization
Contact information
Practice address
1912 W WILSON ST, BATAVIA, IL 60510-2794
(630) 450-3572
Mailing address
1912 W WILSON ST, BATAVIA, IL 60510-2794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027402
IL
122300000X
Dentist
019028009
IL
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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