Provider Demographics
NPI:1356041198
Name:MORELL ARBELO, ELENIE MARIEL (DMD)
Entity type:Individual
Prefix:
First Name:ELENIE
Middle Name:MARIEL
Last Name:MORELL ARBELO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ELENIE
Other - Middle Name:MARIEL
Other - Last Name:MORELL ARBELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ELENIE MORELL, DMD
Mailing Address - Street 1:7343 W SAND LAKE RD APT 523
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5030
Mailing Address - Country:US
Mailing Address - Phone:786-210-6270
Mailing Address - Fax:
Practice Address - Street 1:7450 DR PHILLIPS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5103
Practice Address - Country:US
Practice Address - Phone:716-553-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29037122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program