Individual
DR. ELIZABETH CIPES CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
798 FARMINGTON AVE, WEST HARTFORD, CT 06119-1626
(860) 233-1589
Mailing address
33 AUDUBON WAY, STURBRIDGE, MA 01566-2323
(860) 478-3950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010140
CT
Other
Enumeration date
07/06/2008
Last updated
06/25/2010
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