# ELITE DENTAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245781673
- **Authorized official:** FARAH F AYOUB (OWNER)
- **Authorized official phone:** (856) 320-6165

## Contact information

- **Practice address:** 539 MARLTON PIKE W, CHERRY HILL, NJ 08002-3525
- **Practice address phone:** (856) 320-6165
- **Mailing address:** 539 W MARLTON PIKE, CHERRY HILL, NJ 08002
- **Mailing address phone:** (856) 320-6165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016