Individual
DR. ANDREW FRANKLIN ELLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
500 FULLERTON RD, SWANSEA, IL 62226-2970
(618) 355-0500
Mailing address
433 CARROLL DR, PONTOON BEACH, IL 62040-6633
(618) 540-4563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027402
IL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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