| NPI | 1760202816 |
|---|---|
| Doing Business As | ELITE DENTISTRY OF GEORGIA |
| Doing Business As | TRINITY DENTAL OF GAINSEVILLE |
| Entity Type | Organization |
| Authorized Contact | NICOLE CARIDE Credentialing Manager 727-784-2721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-01-20 |