| NPI | 1003553199 |
|---|---|
| Doing Business As | ELITE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOEY C CHEN President 510-989-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |