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1255619920
ELITE DENTAL, LLC
PHILADELPHIA, PA
NPI
1255619920
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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
2011-07-29
Last Update Date
2020-03-12
Business Address
ELITE DENTAL, LLC
1575 N 52ND ST SUITE 705
PHILADELPHIA, PA 19131-4736
Phone number: 215-879-1777
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Mailing Address
ELITE DENTAL, LLC
1575 N 52ND ST SUITE 705
PHILADELPHIA, PA 19131-4736
Phone number: 215-879-1777
Copy
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