| NPI | 1063386555 |
|---|---|
| Doing Business As | ELIDENT |
| Entity Type | Organization |
| Authorized Contact | GAVRIEL GULAMOV Owner 646-593-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-09 |