Organization
MITCHELL L. ELIAS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL L. ELIAS DDS (OWNER)
(973) 575-4700
Entity
Organization
Contact information
Practice address
147 KONNER AVE, PINE BROOK, NJ 07058-9436
(973) 575-4700
(973) 575-7799
Mailing address
147 KONNER AVE, PO BOX 109, PINE BROOK, NJ 07058-9436
(973) 575-4700
(973) 575-7799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI00968200
NJ
Other
Enumeration date
05/07/2007
Last updated
04/18/2011
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