| NPI | 1629570023 |
|---|---|
| Doing Business As | ELITE DENTAL, LLC |
| Doing Business As | DESERT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAZIAR MINOOFAR President/Dmd 323-205-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-06-16 |