John Edward Elliott, D.D.S. Valid NPI

Individual provider · Periodontics · Corona, CA

NPI

1912011099

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

DE 33281 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-18

Last updated

2007-07-08