| Elite Dental Llc | |
|
5597 Tulip St Ste B4 Philadelphia PA 19124-1562 | |
| (215) 288-8008 | |
| Not Available |
| Full Name | Elite Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5597 Tulip St Ste B4, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Phil Kural (DIRECTOR DOCTOR CREDENTIALING) |
| Authorized Official Contact | 3122744526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Llc 350 N Clark St Ste 600 Chicago IL 60654-4782 Ph: () - | Elite Dental Llc 5597 Tulip St Ste B4 Philadelphia PA 19124-1562 Ph: (215) 288-8008 |
| NPI Number | 1033614136 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033614136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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