Elizabeth Ellen Tackett, RDH

NPI #1891766705 in Amsterdam, New York

Provider Information

NPI Number: 1891766705
Entity Type: Individual
Name: Elizabeth Ellen Tackett, RDH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40 WALL ST
Address 2: NEW DIMENSIONS IN HEALTH CARE
City: Amsterdam
State: New York
ZIP Code: 12010
Phone: (518) 843-2575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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