Individual
DR. ERICA NICOLE ELANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4025 W BELL RD STE 14, PHOENIX, AZ 85053-2749
(206) 850-3467
Mailing address
PO BOX 43262, PHOENIX, AZ 85080-3262
(206) 850-3467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16541
FL
1223G0001X
General Practice Dentistry
Primary
D05851
AZ
Other
Enumeration date
12/20/2006
Last updated
10/18/2022
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