| Elite Dental Center | |
|
11175 Georgia Ave Unit A Wheaton MD 20902-4605 | |
| (301) 622-0484 | |
| Not Available |
| Full Name | Elite Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11175 Georgia Ave, Wheaton, Maryland |
| Authorized Official Name and Position | Khalfani D Walker (OWNER/DENTIST) |
| Authorized Official Contact | 3016220484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Center 11175 Georgia Ave Unit A Wheaton MD 20902-4605 Ph: () - | Elite Dental Center 11175 Georgia Ave Unit A Wheaton MD 20902-4605 Ph: (301) 622-0484 |
| NPI Number | 1659632248 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659632248 | NPI | - | NPPES |
| 1942468590 | Other | MD | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14525 (Maryland) | Primary |
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