Individual
DR. ELIZABETH RENEE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
20 YORK STREET, YNHH AND PEDIATRIC DENTISTRY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
SOLOMON KIDS PEDIATRIC DENTISTRY, 491 W. BUTTERNUT ROAD, SUMMERVILLE, SC 29483
(843) 419-1368
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9599
SC
390200000X
Student in an Organized Health Care Education/Training Program
12178
CT
Other
Enumeration date
05/17/2018
Last updated
06/19/2020
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