Individual
ELISE J DAGGS-MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6226 N 27TH AVE, PHOENIX, AZ 85017-6241
(602) 612-2435
Mailing address
6226 N 27TH AVE, PHOENIX, AZ 85017-6241
(602) 612-2435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33745
CA
Other
Enumeration date
09/21/2006
Last updated
04/16/2021
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