Elite Dental LLC
NPI #1013393628 in Darby, Pennsylvania
Provider Information
- NPI Number
- 1013393628
- Entity Type
- Organization
- Organization Name
- Elite Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Mar 12, 2020
Practice Location
- Address
- 150 MACDADE BLVD
- Address 2
- G
- City
- Darby
- State
- Pennsylvania
- ZIP Code
- 19023-1814
- Phone
- (610) 583-2020
Authorized Official
- Name
- PHIL KURAL
- Title
- DIRECTOR DOCTOR CREDENTIALING
- Phone
- (312) 274-4526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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