Individual
DR. DAVID F ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 S NEW PROSPECT RD, SUITE 23, JACKSON, NJ 08527-1645
(732) 364-3322
(732) 364-7922
Mailing address
10 S NEW PROSPECT RD, SUITE 23, JACKSON, NJ 08527-1645
(732) 364-3322
(732) 364-7922
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DIO1652800
NJ
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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