Provider Demographics
NPI:1760799845
Name:ELIAS, MARGARITA JABER (DDS)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:JABER
Last Name:ELIAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 KINGS GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2596
Mailing Address - Country:US
Mailing Address - Phone:703-622-6079
Mailing Address - Fax:
Practice Address - Street 1:1712 I ST NW STE 906
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:202-496-0892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN100922122300000X
VA0401412837122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist