Individual
DR. ELISA MARIE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
40 SHREWSBURY PLZ, SHREWSBURY, NJ 07702-4322
(732) 747-0993
Mailing address
40 SHREWSBURY PLZ, SHREWSBURY, NJ 07702-4322
(732) 268-8137
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02320200
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI01069000
NJ
Other
Enumeration date
07/17/2008
Last updated
08/13/2019
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