| Elite Dental Services | |
|
12291 Apple Valley Rd Apple Valley CA 92308-1701 | |
| (760) 247-3030 | |
| (760) 247-3030 |
| Full Name | Elite Dental Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12291 Apple Valley Rd, Apple Valley, California |
| Authorized Official Name and Position | Gregory Eric Olafsen (D.D.S.) |
| Authorized Official Contact | 7602473030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Services 12291 Apple Valley Rd Apple Valley CA 92308-1701 Ph: (760) 247-3030 | Elite Dental Services 12291 Apple Valley Rd Apple Valley CA 92308-1701 Ph: (760) 247-3030 |
| NPI Number | 1184855124 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184855124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41202 (California) | Primary |
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