Individual
ELIE G TANNOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 828-2600
Mailing address
101 CASEY ST, NORWOOD, MA 02062-2317
(617) 286-9921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859870
MA
Other
Enumeration date
07/21/2023
Last updated
08/10/2023
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