Individual
DR. JOHN EDWARD ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
900 S MAIN ST STE 104, CORONA, CA 92882-3401
(951) 278-3304
Mailing address
3405 E AUSTIN AVE, ORANGE, CA 92869-5231
(714) 299-9267
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE 33281
CA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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