Organization
ETFD - ELIZABETH LLC
Active
Other names
Elizabeth Township Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
510 SIMPSON HOWELL RD, ELIZABETH, PA 15037-2818
(412) 754-0524
Mailing address
510 SIMPSON HOWELL RD, ELIZABETH, PA 15037-2818
(412) 754-0524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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