Kerisa Sue Elloway, D.D.S.
NPI #1154452324 in Fortuna, California
Provider Information
- NPI Number
- 1154452324
- Entity Type
- Individual
- Name
- Kerisa Sue Elloway, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1730 MAIN ST
- Address 2
- SUITE A
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-2451
- Phone
- (707) 725-1303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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