Elite Practice Management

NPI #1124630462 in Olive Branch, Mississippi

Provider Information

NPI Number: 1124630462
Entity Type: Organization
Organization Name: Elite Practice Management
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 7185 CRAPE MYRTLE DR
City: Olive Branch
State: Mississippi
ZIP Code: 38654-1971
Phone: (662) 314-3585

Authorized Official

Name: KIMBERLY AVANT
Title: PRACTICE MANAGER
Phone: (662) 314-3585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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