Organization
ELITE MOBILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL BARDIN (REGISTERED AGENT)
(214) 769-8995
Entity
Organization
Contact information
Practice address
11706 STRAND ST, DALLAS, TX 75218-1552
(214) 769-8995
Mailing address
11706 STRAND ST, DALLAS, TX 75218-1552
(214) 769-8995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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