Individual
DR. ELISSA LAUREN TEASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 TANNER FORD BLVD, HANAHAN, SC 29410-4707
(843) 818-5437
Mailing address
5 MILLSTREAM LN, PENACOOK, NH 03303-1819
(603) 738-1308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.8377 GD
SC
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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