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GRANT KARLSSON ELLIFSON

Dentist

NPI: 1659076719Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

DentistPrimary

Dentist

Code: 122300000X

6001202(WI)

Contact & Hours

Via practice · 2 locations total

Address
3434 E WASHINGTON AVE
MADISON, WI 53704

Quick Facts

NPI
1659076719
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

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