| Elite Orthodontic Specialists | |
|
810 Jamacha Rd Suite #205 El Cajon CA 92019-6218 | |
| (619) 442-4141 | |
| (619) 442-3199 |
| Full Name | Elite Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 810 Jamacha Rd, El Cajon, California |
| Authorized Official Name and Position | Suhasini Sharma (PRESIDENT) |
| Authorized Official Contact | 6194424141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Orthodontic Specialists 810 Jamacha Rd Suite #205 El Cajon CA 92019-6218 Ph: (619) 442-4141 | Elite Orthodontic Specialists 810 Jamacha Rd Suite #205 El Cajon CA 92019-6218 Ph: (619) 442-4141 |
| NPI Number | 1689926172 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689926172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52468 (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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