NPI | 1104682814 |
---|---|
Doing Business As | ELITE DENTAL AESTHETICS |
Entity Type | Organization |
Authorized Contact | TRAVIS B ADAMS Owner 775-200-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-03-11 |