Elfatih Eisa
NPI #1790511020 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1790511020
- Entity Type
- Individual
- Name
- Elfatih Eisa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 12, 2024
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 8 SUNSET HILLS PROFESSIONAL CTR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3760
- Phone
- (618) 831-8041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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