Elliott, John Edward

Elliott, John Edward is an sole proprietor health care provider with primary practice located at 900 S Main St Ste 104 , Corona CA 92882-3401. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Elliott, John Edward can be contacted via phone (951) 278-3304.

Contact Information

Primary practice address
900 S Main St Ste 104 Corona CA 92882-3401
Phone: (951) 278-3304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE 33281 California

Profile Details

NPI number 1912011099
LBN Legal business name Elliott, John Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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