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Individual
DR. NIDAL S ELIAS
Active
Individual
DR. NIDAL S ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11583
FL
1223P0700X
Prosthodontics
Primary
11583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-3051738
FEDERAL TAX I. D. NUMBER
FL
Enumeration date
07/13/2006
Last updated
08/11/2010
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