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1124543368
ELITE DENTAL LLC
PHILADELPHIA, PA
NPI
1124543368
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Entity Type
Organization
Authorized Contact
PHIL KURAL
Director Doctor Credentialing
312-274-4526
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2017-08-09
Last Update Date
2020-03-12
Business Address
ELITE DENTAL LLC
400 W ALLEGHENY AVE STE B-1
PHILADELPHIA, PA 19133-3639
Phone number: 215-291-9200
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Mailing Address
ELITE DENTAL LLC
350 N CLARK ST STE 600
CHICAGO, IL 60654-4782
Phone number:
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