Individual
DR. LISA ANN ELENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1791 OAK AVE, SUITE C, DAVIS, CA 95616-1073
(530) 756-7516
(530) 756-0727
Mailing address
448 WILLIAMS ST, FOLSOM, CA 95630-9558
(916) 608-0902
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37543
CA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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