Individual
DR. MARY JUNE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3400 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5712
(573) 632-2777
Mailing address
3400 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016016878
MO
Other
Enumeration date
05/31/2016
Last updated
01/24/2017
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