MRS. Elisa Dack, RDH

NPI #1508579384 in West Branch, Michigan

Provider Information

NPI Number: 1508579384
Entity Type: Individual
Name: MRS. Elisa Dack, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 27, 2022
Last Updated: Dec 27, 2022

Practice Location

Address: 630 PROGRESS ST
City: West Branch
State: Michigan
ZIP Code: 48661-8603
Phone: (989) 345-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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