Elite Dental

NPI #1669907036 in Arlington, Virginia

Provider Information

NPI Number: 1669907036
Entity Type: Organization
Organization Name: Elite Dental
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 1025 N FILLMORE ST STE C
City: Arlington
State: Virginia
ZIP Code: 22201-6700
Phone: (703) 243-4500

Authorized Official

Name: STEPHANIE GOMEZ
Title: CREDENTIALING COORDINATOR
Phone: (305) 274-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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