Organization
NIDAL S ELIAS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDAL SALEM ELIAS D.D.S.,M.S. (PROSTHODONTIST)
(904) 731-2120
Entity
Organization
Contact information
Practice address
9250 BAYMEADOWS RD, STE 300, JACKSONVILLE, FL 32256-1883
(904) 731-2120
(904) 731-9235
Mailing address
9250 BAYMEADOWS RD, STE 300, JACKSONVILLE, FL 32256-1883
(904) 731-2120
(904) 731-9235
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0011583
FL
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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