Individual
DR. ELISE FRIEDMAN ADRIAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
577 STERNBERG AVE, HQ USADENTAC CREDENTIALS OFFICE, FORT EUSTIS, VA 23604-1526
(757) 314-7944
(757) 314-7942
Mailing address
577 STERNBERG AVE, HQ USADENTAC CREDENTIALS OFFICE, FORT EUSTIS, VA 23604-1526
(757) 314-7944
(757) 314-7942
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008102
VA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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