Individual
DR. EYITEMI ELETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 W LOOP 340 STE 200B, WACO, TX 76711-2454
(254) 230-9597
Mailing address
2320 W LOOP 340 STE 200B, WACO, TX 76711-2454
(213) 905-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.035381
IL
122300000X
Dentist
Primary
41409
TX
122300000X
Dentist
DN123199
GA
Other
Enumeration date
07/27/2023
Last updated
06/09/2025
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