Individual
DR. BRENDA M. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1208 MAIN ST, ALTAVISTA, VA 24517-1434
(434) 369-6244
Mailing address
51 THREE CHOP CIR, ALTAVISTA, VA 24517-2132
(434) 369-6244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006859
VA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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