Individual
ELIZABETH ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
415 CAPE CORAL PARKWAY #W1, CAPE CORAL, FL 33914
(239) 540-3881
(239) 540-3883
Mailing address
4406 SE 10TH PLACE, CAPE CORAL, FL 33904
(239) 549-1025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16542
FL
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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