Provider Demographics
NPI:1003476060
Name:BEN-ELAZAR, KAREN (DMD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:BEN-ELAZAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16850 S JOG RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2383
Mailing Address - Country:US
Mailing Address - Phone:561-499-1788
Mailing Address - Fax:
Practice Address - Street 1:16850 S JOG RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2383
Practice Address - Country:US
Practice Address - Phone:561-499-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN242231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry