| Elite Dental, Llc | |
|
1575 N 52nd St Suite 705 Philadelphia PA 19131-4736 | |
| (215) 879-1777 | |
| (215) 879-8077 |
| Full Name | Elite Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1575 N 52nd St, 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 1575 N 52nd St Suite 705 Philadelphia PA 19131-4736 Ph: (215) 879-1777 | Elite Dental, Llc 1575 N 52nd St Suite 705 Philadelphia PA 19131-4736 Ph: (215) 879-1777 |
| NPI Number | 1255619920 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255619920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Pennsylvania) | Primary |
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