| NPI | 1831825298 |
|---|---|
| Doing Business As | ELITE DENTAL CARE RIPLEY |
| Entity Type | Organization |
| Authorized Contact | TOM LANNOM Chief Financial Officer 731-855-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |