| NPI | 1205655347 |
|---|---|
| Doing Business As | ELITEDENT PB |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CORREA President 786-351-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |