| NPI | 1962167064 |
|---|---|
| Doing Business As | ELITE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY W ECKHARDT Owner/Dentist 970-219-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |