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Individual
SUBANITHA ELAN
Active
Individual
SUBANITHA ELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02658100
NJ
122300000X
Dentist
DS042006
PA
1223G0001X
General Practice Dentistry
Primary
DN22252
FL
Other
Enumeration date
01/03/2017
Last updated
11/16/2022
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