Individual
DR. NICKEISHA LOUIS-ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
550 NEWARK AVE STE 410, JERSEY CITY, NJ 07306-1326
(201) 706-3412
Mailing address
3436 KINGSBRIDGE AVE APT 1G, BRONX, NY 10463-4043
(631) 813-9710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03059600
NJ
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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