DR. Theodis Elzie, D.D.S.

NPI #1164440095 in Smyrna, Georgia

Provider Information

NPI Number: 1164440095
Entity Type: Individual
Name: DR. Theodis Elzie, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 705 WINDY HILL RD SE
City: Smyrna
State: Georgia
ZIP Code: 30080-1854
Phone: (770) 801-1641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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