| NPI | 1760202014 |
|---|---|
| Doing Business As | ELITE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK DAIGREPONT Dentist 318-359-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |