| Elite Dental | |
|
1025 N Fillmore St Ste C Arlington VA 22201-6700 | |
| (703) 243-4500 | |
| Not Available |
| Full Name | Elite Dental |
|---|---|
| Speciality | Dentist |
| Location | 1025 N Fillmore St Ste C, Arlington, Virginia |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental 1025 N Fillmore St Ste C Arlington VA 22201-6700 Ph: (703) 243-4500 | Elite Dental 1025 N Fillmore St Ste C Arlington VA 22201-6700 Ph: (703) 243-4500 |
| NPI Number | 1669907036 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669907036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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