Individual
DR. MOLLY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
2632 THORNGROVE CT, FAYETTEVILLE, NC 28303-2883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10778
NC
Other
Enumeration date
07/07/2017
Last updated
09/22/2017
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