Individual
DR. TOM EDWARD ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(608) 290-9450
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(608) 290-9450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6723-15
WI
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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