Individual
DR. ELLIOT ELI ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1819 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4613
(520) 458-2500
(520) 452-1876
Mailing address
1819 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4613
(520) 458-2500
(520) 452-1876
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D2175
AZ
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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