| NPI | 1619764388 |
|---|---|
| Doing Business As | ELEVE DENTAL COSMETIC & IMPLANT CENTER |
| Doing Business As | DAMAS DENTAL AESTHETICS PLLC |
| Doing Business As | ELEVE COSMETIC & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | MOHAAD FARAJ Lead Provider 860-287-6598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-09-11 |