| Elite Dental, Llc | |
|
1300 El Paseo Rd Ste N Las Cruces NM 88001-6039 | |
| (323) 205-6294 | |
| Not Available |
| Full Name | Elite Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1300 El Paseo Rd Ste N, Las Cruces, New Mexico |
| Authorized Official Name and Position | Maziar Minoofar (PRESIDENT/DMD) |
| Authorized Official Contact | 3232056294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental, Llc 1531 George Dieter Dr Apt 1004 El Paso TX 79936-7673 Ph: () - | Elite Dental, Llc 1300 El Paseo Rd Ste N Las Cruces NM 88001-6039 Ph: (323) 205-6294 |
| NPI Number | 1629570023 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629570023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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