Individual
ELIZABETH ANNE ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 513-0555
(219) 513-0666
Mailing address
237 GREGORY AVE, MUNSTER, IN 46321-1011
(219) 513-0555
(219) 513-0666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031515
IL
122300000X
Dentist
Primary
12012895A
IN
122300000X
Dentist
D12833
MN
Other
Enumeration date
04/22/2009
Last updated
04/02/2019
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