| Kerisa Sue Elloway, DDS | |
|
1730 Main St, Suite A, Fortuna, CA 95540-2451 | |
| (707) 725-1303 | |
| (707) 725-1358 |
| Full Name | Kerisa Sue Elloway |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1730 Main St, Fortuna, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154452324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 47254 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kerisa Sue Elloway, DDS 1730 Main St Ste A, Fortuna, CA 95540-2451 Ph: (707) 725-1303 | Kerisa Sue Elloway, DDS 1730 Main St, Suite A, Fortuna, CA 95540-2451 Ph: (707) 725-1303 |
Brett Michael Wonenberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1730 Main St, Suite A, Fortuna, CA 95540 Phone: 707-725-1303 Fax: 707-725-1358 | |
M.a. Russell Jones Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2594 Shay Ct, Fortuna, CA 95540 Phone: 707-725-5025 Fax: 707-725-7916 | |
Joseph A Ortola, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 569 S. Fortuna Blvd., Fortuna, CA 95540 Phone: 707-725-4419 Fax: 707-725-3233 | |
Dr. Michael Francis Manhard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3750 Rohnerville Rd, Fortuna, CA 95540 Phone: 707-617-2555 Fax: 707-725-7843 | |
Dr. Donald Vincent Fregeau Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 569 S Fortuna Blvd, Fortuna, CA 95540 Phone: 707-725-4419 | |
Dr. Gabriel Enriquez, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 Loni Dr, Fortuna, CA 95540 Phone: 707-725-4409 |