Individual
DR. ELIZABETH K ELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
659 VALLEY RD, WAYNE, NJ 07470-3529
(973) 694-8082
(973) 694-2813
Mailing address
659 VALLEY RD, WAYNE, NJ 07470-3529
(973) 694-8082
(973) 694-2813
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI 18996
NJ
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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