MEDICARE: DR. ELINA BILMAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DS037412	PA

General Provider Information

NPI Number	:	1639337736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELINA BILMAN DMD

Provider Business Mailing Address
First Line	:	1248 FARMINGTON AVE APT A6
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2621
Country	:	US
Telephone Number	:	917-330-2874
Fax Number	:

Provider Business Practice Location Address
First Line	:	1248 FARMINGTON AVE APT A6
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2621
Country	:	US
Telephone Number	:	917-330-2874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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