Provider Demographics
NPI:1053385047
Name:ANISTRANSKI, ELIZABETH LAURA (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LAURA
Last Name:ANISTRANSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3345
Mailing Address - Country:US
Mailing Address - Phone:412-882-3424
Mailing Address - Fax:
Practice Address - Street 1:4200 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3345
Practice Address - Country:US
Practice Address - Phone:412-882-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024032-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice