| NPI | 1609527704 |
|---|---|
| Doing Business As | ELITE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MOHAN RAJ JAGANTHAN Owner/Dentist 210-342-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-04-01 |