Elite Dental | |
1025 N Fillmore St Ste C Arlington VA 22201-6700 | |
(703) 243-4500 | |
Not Available |
Full Name | Elite Dental |
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Speciality | Dentist |
Location | 1025 N Fillmore St Ste C, Arlington, Virginia |
Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3052742499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Dental 1025 N Fillmore St Ste C Arlington VA 22201-6700 Ph: (703) 243-4500 | Elite Dental 1025 N Fillmore St Ste C Arlington VA 22201-6700 Ph: (703) 243-4500 |
NPI Number | 1669907036 |
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Provider Enumeration Date | 04/24/2017 |
Last Update Date | 04/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669907036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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