Individual
DAVID MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10205 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3624
(502) 267-8151
(502) 267-8175
Mailing address
10205 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3624
(502) 267-8151
(502) 267-8175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4578
KY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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