Individual
KATHY L. ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, PHD
Contact information
Practice address
6655 TRAVIS STREET, SUITE 460, HOUSTON, TX 77030
(713) 500-8220
Mailing address
3733 S TELEGRAPH RD, DEARBORN, MI 48124-3286
(313) 563-1860
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022418
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30719
TX
Other
Enumeration date
05/20/2015
Last updated
04/30/2025
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