NPI | 1952926404 |
---|---|
Doing Business As | ELITE DENTAL |
Entity Type | Organization |
Authorized Contact | ROSHANAK ESMAEILI AHMADABADI Dentist 405-339-4461 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |