# ELITE DENTAL ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1639542855
- **Authorized official:** DR. LAWRENCE WONG DMD (PRESIDENT)
- **Authorized official phone:** (814) 571-3806

## Contact information

- **Practice address:** 5815 LIVE OAK ST, SUITE 103, DALLAS, TX 75214-7310
- **Practice address phone:** (814) 571-3806
- **Mailing address:** 7417 WELLCREST DR, DALLAS, TX 75230-4235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 26315 | TX | Yes |

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 11/10/2015