Elite Care Dental, P.c.

NPI #1003143017 in South Holland, Illinois

Provider Information

NPI Number: 1003143017
Entity Type: Organization
Organization Name: Elite Care Dental, P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 16111 LA SALLE ST
City: South Holland
State: Illinois
ZIP Code: 60473-2064
Phone: (708) 339-9999

Authorized Official

Name: SHAFAQ MUSTAFA
Title: DENTIST/OWNER
Phone: (708) 339-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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