Individual
DR. THOMAS JOSEPH ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(808) 433-1021
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020986
DEPARTMENT OF LISCENCING AND REGULATORY AFFAIRS
MI
Enumeration date
08/08/2013
Last updated
07/24/2020
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