Elenbaas & Doty, Pllc

NPI #1053547794 in Gulfport, Mississippi

Provider Information

NPI Number: 1053547794
Entity Type: Organization
Organization Name: Elenbaas & Doty, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 9, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 1924 E PASS RD
City: Gulfport
State: Mississippi
ZIP Code: 39507-3715
Phone: (228) 896-1840

Authorized Official

Name: DR. ANDREA BURGER ELENBAAS, DMD
Title: OWNER/DENTIST
Phone: (228) 896-1840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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