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Elite Dp Llc
Dental Clinic/Center in Dallas, Texas
NPI 1629301007

Elite Dp Llc is a Dental Clinic/Center based in Dallas, TX and is specialized in Dental. Elite Dp Llc practices in Dallas, TX. The NPI Number for Elite Dp Llc is 1629301007 and holds a License No. 14379 (Texas).

The current practice location address for Elite Dp Llc is 4323 Lemmon Ave, Dallas, TX and can be reached out via phone at 214-522-4444 and via fax at 214-521-0590.

Location: 4323 Lemmon Ave, Dallas, TX, 75219-2706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629301007
Provider Name
Elite Dp Llc
Credential
Provider Entity Type
Organization
Address
4323 Lemmon Ave, Dallas, TX, 75219-2706
Phone Number
214-522-4444
Fax Number
214-521-0590
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720146129 01 TX DENTIST
institution
Provider Business Practice Location Address Details
Address
4323 Lemmon Ave
City
Dallas
State
Texas
Zip
75219-2706
Phone Number
214-522-4444
Fax Number
214-521-0590
person
Provider Business Mailing Address Details
Address
4323 Lemmon Ave
City
Dallas
State
Texas
Zip
75219-2706
Phone Number
214-522-4444
Fax Number
214-521-0590
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
14379 (Texas)
Definition
Definition to come...
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