# DR. MITCHELL L ELIAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124447065
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 030368 | NY | — |
| 122300000X | Dentist | NJ9682 | NJ | Yes |

## Other

- **Enumeration date:** 04/08/2014
- **Last updated:** 04/08/2014