Individual
ELIZABETH SARAH OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
121 OAKRIDGE CT, WATERTOWN, WI 53094-4100
(920) 261-5110
Mailing address
UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL, 1959 NE PACIFIC STREET, BOX 357134, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001514-15
WI
Other
Enumeration date
03/22/2016
Last updated
09/27/2023
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