MR. John Richard Elvin, LD

NPI #1588700181 in Chehalis, Washington

Provider Information

NPI Number: 1588700181
Entity Type: Individual
Name: MR. John Richard Elvin, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 292 CHEHALIS VALLEY RD
City: Chehalis
State: Washington
ZIP Code: 98532
Phone: (360) 259-9157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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