A Elite Dental, INC

NPI #1578003901 in Medford, Oregon

Provider Information

NPI Number: 1578003901
Entity Type: Organization
Organization Name: A Elite Dental, INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 4, 2017
Last Updated: Mar 4, 2017

Practice Location

Address: 3502 EXCEL DR
Address 2: #101
City: Medford
State: Oregon
ZIP Code: 97504-9136
Phone: (541) 690-1656

Authorized Official

Name: TAE KYUNG JUNG, DMD
Title: PRESIDENT
Phone: (541) 690-1656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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