| NPI | 1326856105 |
|---|---|
| Doing Business As | ELITE ELM DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHANTHALA GOWDARA SRINIVASA REDDY General Dentist 407-227-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-25 |
| Last Update Date | 2024-12-25 |