Individual
ELENA ISABELLA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
443 JOAQUIN AVE, SUITE A, SAN LEANDRO, CA 94577-4902
(510) 352-9212
(510) 352-4313
Mailing address
443 JOAQUIN AVE, SUITE A, SAN LEANDRO, CA 94577-4902
(510) 352-9212
(510) 352-4313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56975
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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