Individual
DR. ALEXA NICOLE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3487 CENTRAL AVE, RIVERSIDE, CA 92506-2115
(951) 369-1001
Mailing address
23 VISTA LA CUESTA, RANCHO SANTA MARGARITA, CA 92688-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100428
CA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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