Individual
MS. ELYSE MARIE MCANINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1895 MAIN ST, WATSONVILLE, CA 95076-6024
(831) 274-3214
Mailing address
1895 MAIN ST, WATSONVILLE, CA 95076-6024
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63862
CA
Other
Enumeration date
08/14/2014
Last updated
06/15/2015
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