NPI | 1104397090 |
---|---|
Doing Business As | ELITE DENTAL OF JUPITER |
Entity Type | Organization |
Authorized Contact | MARIANNA ZADOV Owner 561-305-2958 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-12-17 |
Last Update Date | 2020-09-03 |