# ELITE EXTON DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811343569
- **Authorized official:** ANKUR M MOVALIA (MANAGER)
- **Authorized official phone:** (610) 280-9899

## Contact information

- **Practice address:** 100 CAMPBELL BLVD STE 102, EXTON, PA 19341-2545
- **Practice address phone:** (610) 280-9899
- **Practice address fax:** (610) 280-3513
- **Mailing address:** 100 CAMPBELL BLVD STE 102, EXTON, PA 19341-2545
- **Mailing address phone:** (610) 280-9899
- **Mailing address fax:** (610) 280-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | PA | Yes |

## Other

- **Enumeration date:** 05/12/2016
- **Last updated:** 05/12/2016