Individual
ELIZABETH ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
696 PALISADE AVE, TEANECK, NJ 07666-3164
(201) 836-0623
Mailing address
407 W 206TH ST APT 912S, NEW YORK, NY 10034-2356
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
019.034569
IL
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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