Individual
MRS. ELISA ELLEN GASTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
253 LABORATORY RD, OAK RIDGE, TN 37830
(865) 482-5170
(865) 482-6092
Mailing address
253 LABORATORY RD, OAK RIDGE, TN 37830
(865) 482-5170
(865) 482-6092
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2760
TN
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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