Individual
FARES M ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 CATALPA DR, ROYAL OAK, MI 48067-1242
(248) 398-7880
Mailing address
122 CATALPA DR, ROYAL OAK, MI 48067-1242
(248) 398-7880
(248) 398-5917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11965
MI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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