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Individual

ELIE ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9870 GRIFFIN RD, COOPER CITY, FL 33328-3419
(954) 434-2700
(954) 434-2703
Mailing address
9870 GRIFFIN RD, COOPER CITY, FL 33328-3419
(954) 434-2700
(954) 434-2703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13326
FL

Other

Enumeration date
08/19/2009
Last updated
08/19/2009
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