| Elite Dental & Aesthetics | |
|
131 Nw 100th Ave Plantation FL 33324-7034 | |
| (954) 476-4537 | |
| Not Available |
| Full Name | Elite Dental & Aesthetics |
|---|---|
| Speciality | Dentist |
| Location | 131 Nw 100th Ave, Plantation, Florida |
| Authorized Official Name and Position | Elizabeth Kossak (DENTIST) |
| Authorized Official Contact | 3135803258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental & Aesthetics 131 Nw 100th Ave Plantation FL 33324-7034 Ph: (954) 476-4537 | Elite Dental & Aesthetics 131 Nw 100th Ave Plantation FL 33324-7034 Ph: (954) 476-4537 |
| NPI Number | 1922547728 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922547728 | NPI | - | NPPES |
| 1851739262 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21325 (Florida) | Primary |
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