Organization · Type 2 NPI
Elite DP LLC
Dental Clinic/Center · Dallas, TX
NPI number
1629301007
Active
Practice location
4323 Lemmon Ave
Dallas, TX 75219-2706
Fax (214) 521-0590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 14379 (TX) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1629301007
Elite DP LLC's National Provider Identifier is 1629301007, issued on Sep 16, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dallas, TX. The record was last updated on Sep 16, 2009.