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MRS. ELISA HOLMES R.D.H.
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1780736389
Individual Registrant:MRS. ELISA HOLMES R.D.H.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
20 LIBERTY DRIVE HEBRON, CT 06248 US
Tel: 860-228-7878 Fax: --
Tel: 860-228-7878 Fax: --
Contact information for business:
PO BOX 752 HEBRON, CT 06248-0752 US
Tel: 860-228-7878 Fax: --
Tel: 860-228-7878 Fax: --
Registration Information:
NPI: 1780736389
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | CT | 005964 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
