Individual provider · NPI-1

Dr. Elizabeth J An, D.D.S.

Dentist, General Practice · Westminster, CA

NPI number1184677155
StatusActive
Last updated in NPPESOct 20, 2014

Details

NPI
1184677155
Entity type
Individual (NPI-1)
Name
Dr. Elizabeth J An
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2006
Last updated
Oct 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice49051CAYes

Practice location

6462 Westminster Blvd
Westminster, CA 92683-3601

Phone 714-898-8728

Mailing address

6462 Westminster Blvd
Westminster, CA 92683-3601

Phone 714-898-8728

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