Jimmy K Elison, DMD
Dentist in Neah Bay, WA. Individual provider (NPI-1).
NPI number1124158548
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124158548
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jimmy K Elison
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | N00822 | ID | Yes |
Practice location
250 Fort StreetNeah Bay, WA 98357
Phone 360-645-2233 · Fax 360-645-2305
Mailing address
Po Box 410Neah Bay, WA 98357-0410
Phone 360-645-2233 · Fax 360-645-2305
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