Individual
DR. MARYLUCY ELEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 234-0757
Mailing address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 723-4075
(406) 723-3059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61088351
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
06/06/2022
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