Kerisa Sue Elloway, DDS - Fortuna, CA

Kerisa Sue Elloway, DDS

Pediatric Dentist in Fortuna, California

NPI 1154452324

Kerisa Sue Elloway is a Pediatric Dentist based in Fortuna, CA and is specialized in Pediatric Dentistry. Kerisa Sue Elloway practices in Fortuna, CA and has the professional credentials of DDS. The NPI Number for Kerisa Sue Elloway is 1154452324 and holds a License No. 47254 (California).

The current practice location address for Kerisa Sue Elloway is 1730 Main St, Fortuna, CA and can be reached out via phone at 707-725-1303 and via fax at 707-725-1358.

Location: 1730 Main St, Fortuna, CA, 95540-2451

NPI Number

1154452324

Provider Name

Kerisa Sue Elloway

Credential

DDS

Provider Entity Type

Individual

Gender

Female

Address

1730 Main St, Fortuna, CA, 95540-2451

Phone Number

707-725-1303

Fax Number

707-725-1358

Provider Enumeration Date

03/08/2007

Last Update Date

03/09/2024

Address

1730 Main St

City

Fortuna

State

California

Zip

95540-2451

Phone Number

707-725-1303

Fax Number

707-725-1358

Address

1730 Main St

City

Fortuna

State

California

Zip

95540-2451

Phone Number

707-725-1303

Fax Number

707-725-1358

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

License No.

47254 (California)

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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