Individual
ELIZABETH ILIUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
609 W ACEQUIA AVE, VISALIA, CA 93291-6165
(559) 625-2040
Mailing address
2177 N LINWOOD ST, N/A, VISALIA, CA 93291
(559) 300-0258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106382
CA
Other
Enumeration date
07/26/2021
Last updated
09/06/2021
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