Individual
DR. THOMAS GABRIEL ELIAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6043 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 739-8287
(804) 739-3934
Mailing address
6043 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 739-8287
(804) 739-3934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005816
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006664
ANTHEM INS
VA
01
—
669561
UNITED CONCORDIA INS
—
Enumeration date
12/16/2005
Last updated
07/08/2007
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