Individual
DR. RICHARD J ELIAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
535 GREENWOOD AVE SE, GRAND RAPIDS, MI 49506-2910
(616) 458-2048
(616) 458-1311
Mailing address
535 GREENWOOD AVE SE, GRAND RAPIDS, MI 49506-2910
(616) 458-2048
(616) 458-1311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15931
MI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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