Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN24223 | FL |
NPI | 1003476060 |
---|---|
Provider Name | Dr. Karen Ben-Elazar |
First Address | Davie, FL 33328-3036 |
Second Address | Naples, FL 34113-1753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2019 |
Last Update Date | 20/06/2019 |