Individual
DR. ELISA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
368 LAKEHURST RD, SUITE 305, TOMS RIVER, NJ 08755-7339
(732) 473-1123
Mailing address
368 LAKEHURST RD, SUITE 305, TOMS RIVER, NJ 08755-7339
(732) 473-1123
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI21316
NJ
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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