Individual
DR. AUDREY LOUISE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
52 HIGH ST, NEW BOSTON, NH 03070-4027
(603) 487-2106
Mailing address
5 SUNFLOWER LN, LONDONDERRY, NH 03053-7471
(603) 437-0113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3424
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30303627
—
NH
Enumeration date
07/27/2006
Last updated
07/08/2007
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