Richard J Elias III DDS

NPI 1093930125 - Dentist - 1223G0001X

NPI Details
NPI 1093930125
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
535 GREENWOOD AVE SE
GRAND RAPIDS MI, 49506-2910, US
Phone (616) 458-2048
Fax (616) 458-1311
Business Location
535 GREENWOOD AVE SE
GRAND RAPIDS MI, 49506-2910, US
Phone (616) 458-2048
Fax (616) 458-1311
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 15931
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According to our database, Dr. Richard J Elias III DDS NPI is 1093930125, taxonomy code is 1223G0001X and license number is 15931, license state is located at Michigan. Richard J Elias III DDS physically located at 535 Greenwood Ave Se, Grand Rapids MI, 49506-2910. NPI Number Richard J Elias III DDS has the Individual type.

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1093930125 NPI number is provided on an as is basis without warranty of any kind. 1093930125 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J Elias III DDS are for informational purposes only.