| NPI | 1285442228 |
|---|---|
| Doing Business As | ELITE WELLNESS & DENTAL SPA LLC |
| Entity Type | Organization |
| Authorized Contact | CARLOS LOPEZ CFO 786-200-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |