Individual
DR. MITCHELL L ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
147 KONNER AVE, PINE BROOK, NJ 07058-9436
(973) 575-4700
Mailing address
147 KONNER AVE, PINE BROOK, NJ 07058-9436
(973) 575-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
030368
NY
122300000X
Dentist
Primary
NJ9682
NJ
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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