| NPI | 1255139432 |
|---|---|
| Doing Business As | ELITE DENTISTRY OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | NICOLE CARIDE Credentialing Mgr 727-784-2721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-06 |