DR. Brandon Suello Elimanco, D.M.D.

NPI #1326175415 in Freehold, New Jersey

Provider Information

NPI Number: 1326175415
Entity Type: Individual
Name: DR. Brandon Suello Elimanco, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 63 W MAIN ST
City: Freehold
State: New Jersey
ZIP Code: 07728-2140
Phone: (732) 780-1400

Specialties & Taxonomy Codes

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

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