Individual
DR. UNKNOWN ELSA KURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1931 MAIN ST, GREEN BAY, WI 54302-3920
(920) 499-2770
Mailing address
2100 N URSULA ST UNIT 224, AURORA, CO 80045-7409
(703) 862-9860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001729
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2025
Last updated
01/29/2025
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