Organization
DR. ELDIB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRM)
(866) 273-8204
Entity
Organization
Contact information
Practice address
1515 E US HIGHWAY 223 STE G, ADRIAN, MI 49221-4456
(517) 264-2700
(517) 264-2744
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21060
MI
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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