Organization
ELITE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL KURAL (DIRECTOR DOCTOR CREDENTIALING)
(312) 274-4526
Entity
Organization
Contact information
Practice address
150 MACDADE BLVD, G, DARBY, PA 19023-1814
(610) 583-2020
Mailing address
150 MACDADE BLVD, G, DARBY, PA 19023-1814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
03/12/2020
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