Eli Tanios Jarjoura, DDS Valid NPI

Individual provider · General Practice Dentistry · Edmond, OK

NPI

1235253014

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

5325 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-19

Last updated

2007-07-08