Individual
DR. ELISA SIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
41250 12TH ST W STE A, PALMDALE, CA 93551-1444
(617) 620-0873
Mailing address
41250 12TH ST W STE A, PALMDALE, CA 93551-1444
(617) 620-0873
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
56422
CA
1223P0300X
Periodontics
D07398
AZ
1223P0300X
Periodontics
DE60249811
WA
Other
Enumeration date
10/04/2011
Last updated
03/06/2024
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