| NPI | 1740215870 |
|---|---|
| Doing Business As | JOSEPH H. ELISON AND/OR JOSEPH MATTHEW ELISON |
| Entity Type | Organization |
| Authorized Contact | JOSEPH H. ELISON Orthodontist 208-522-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ID D1702 OR) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |