Individual
DR. ELISE VICTORIA HURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 474-4242
Mailing address
3740 PARK BLVD APT 112, SAN DIEGO, CA 92103-0916
(317) 695-5151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7083
SC
Other
Enumeration date
10/17/2011
Last updated
07/10/2024
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