| NPI | 1619496577 |
|---|---|
| Former Legal Business Name | ELITE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALVIN SMITH Owner 504-324-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-02-18 |