Individual
ELIZABETH KLELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Mailing address
45 HEIGHTS RD, WAYNE, NJ 07470-4655
(973) 856-2058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03048300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2023
Last updated
07/12/2024
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