Mitchell L. Elias, Dds | |
147 Konner Ave Pine Brook NJ 07058-9436 | |
(973) 575-4700 | |
(973) 575-7799 |
Full Name | Mitchell L. Elias, Dds |
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Speciality | Dentist |
Location | 147 Konner Ave, Pine Brook, New Jersey |
Authorized Official Name and Position | Mitchell L. Elias (OWNER) |
Authorized Official Contact | 9735754700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mitchell L. Elias, Dds 147 Konner Ave Po Box 109 Pine Brook NJ 07058-9436 Ph: (973) 575-4700 | Mitchell L. Elias, Dds 147 Konner Ave Pine Brook NJ 07058-9436 Ph: (973) 575-4700 |
NPI Number | 1629281928 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 04/18/2011 |
Identifier | Type | State | Issuer |
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1629281928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI00968200 (New Jersey) | Primary |