Individual
MRS. LAURA MARIE ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15650 SAN CARLOS BLVD, FORT MYERS, FL 33908-2569
(239) 489-1118
(239) 489-3627
Mailing address
3773 LIBERTY SQ, FORT MYERS, FL 33908-4147
(239) 454-3275
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH15820
FL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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