| Elite Wellness & Dental Spa Llc | |
|
3105 Nw 107th Ave Ste 100 Doral FL 33172-2215 | |
| (786) 200-9120 | |
| Not Available |
| Full Name | Elite Wellness & Dental Spa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3105 Nw 107th Ave Ste 100, Doral, Florida |
| Authorized Official Name and Position | Carlos Lopez (CFO) |
| Authorized Official Contact | 7862009120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wellness & Dental Spa Llc 3105 Nw 107th Ave Ste 100 Doral FL 33172-2215 Ph: () - | Elite Wellness & Dental Spa Llc 3105 Nw 107th Ave Ste 100 Doral FL 33172-2215 Ph: (786) 200-9120 |
| NPI Number | 1285442228 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285442228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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