Individual
DR. SERGIO AUGUSTO ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8951 GOODRICH RD APT 111, BLOOMINGTON, MN 55437-1634
(305) 342-3382
Mailing address
8951 GOODRICH RD APT 111, BLOOMINGTON, MN 55437-1634
(305) 342-3382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14997
MN
1223G0001X
General Practice Dentistry
DN26235
FL
Other
Enumeration date
09/16/2021
Last updated
09/21/2023
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