Individual
ELIZABETH EVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
506 LENOX AVE BLDG K, NEW YORK, NY 10037-1802
(212) 939-2890
Mailing address
380 RECTOR PL APT 3M, NEW YORK, NY 10280-1443
(510) 676-1697
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060327
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
65258
CA
Other
Enumeration date
06/13/2018
Last updated
07/10/2019
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