Individual
DR. ELAINE CHRISTINE BOOSALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8901 WISCONSIN AVE BLDG 9, BETHESDA, MD 20889-0006
(301) 400-2060
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14273
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES-30682
IA
Other
Enumeration date
08/20/2019
Last updated
06/10/2024
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