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Organization
ELITE DENTAL SERVICES
Active
Organization
ELITE DENTAL SERVICES
Active
Parent organization
ELITE DENTAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE DENTAL SERVICES
Authorized official
GREGORY ERIC OLAFSEN (D.D.S.)
(760) 247-3030
Entity
Organization
Contact information
Practice address
12291 APPLE VALLEY RD, APPLE VALLEY, CA 92308-1701
(760) 247-3030
(760) 247-3030
Mailing address
12291 APPLE VALLEY RD, APPLE VALLEY, CA 92308-1701
(760) 247-3030
(760) 247-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41202
CA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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