Individual
ELLIOT D DIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 TAMIAMI TRL S, SUITE 110, VENICE, FL 34285-2614
(941) 484-3581
(941) 485-7856
Mailing address
400 TAMIAMI TRL S, SUITE 110, VENICE, FL 34285-2614
(941) 484-3581
(941) 485-7856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14177
FL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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