| Elite Care Dental, P.c. | |
|
16111 La Salle St South Holland IL 60473-2064 | |
| (708) 339-9999 | |
| Not Available |
| Full Name | Elite Care Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 16111 La Salle St, South Holland, Illinois |
| Authorized Official Name and Position | Shafaq Mustafa (DENTIST/OWNER) |
| Authorized Official Contact | 7083399999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Dental, P.c. 16111 La Salle St South Holland IL 60473-2064 Ph: () - | Elite Care Dental, P.c. 16111 La Salle St South Holland IL 60473-2064 Ph: (708) 339-9999 |
| NPI Number | 1003143017 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-026564 (Illinois) | Primary |
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