Individual
ELISSA A. EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
247 PEARL ST, BURLINGTON, VT 05401-8502
(802) 652-4000
(802) 864-0320
Mailing address
247 PEARL ST, BURLINGTON, VT 05401-8502
(802) 652-4000
(802) 864-0320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
016-0002201
VT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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