| NPI | 1619729589 |
|---|---|
| Doing Business As | ELITE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |