| Mitchell L. Elias, Dds | |
|
147 Konner Ave Pine Brook NJ 07058-9436 | |
| (973) 575-4700 | |
| (973) 575-7799 |
| Full Name | Mitchell L. Elias, Dds |
|---|---|
| Speciality | Dentist |
| Location | 147 Konner Ave, Pine Brook, New Jersey |
| Authorized Official Name and Position | Mitchell L. Elias (OWNER) |
| Authorized Official Contact | 9735754700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell L. Elias, Dds 147 Konner Ave Po Box 109 Pine Brook NJ 07058-9436 Ph: (973) 575-4700 | Mitchell L. Elias, Dds 147 Konner Ave Pine Brook NJ 07058-9436 Ph: (973) 575-4700 |
| NPI Number | 1629281928 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629281928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI00968200 (New Jersey) | Primary |