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Individual

BRIDGET ANN G ELIZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3375 E TROPICANA AVE STE F8, LAS VEGAS, NV 89121-7357
(702) 964-3626
Mailing address
7745 WOLF WOOD CT, LAS VEGAS, NV 89179-2080
(702) 277-4611

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7710
NV
122300000X
Dentist
D011169
AZ

Other

Enumeration date
09/09/2021
Last updated
10/25/2022
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