ELITE DENTAL, LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1457452112- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7300 147TH ST W SUITE 103, APPLE VALLEY, MN, 551247541
- Phone
- (952) 432-1716
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #D11923