Organization
ELITE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL AMADOR (OFFICE MANAGER)
(517) 920-4951
Entity
Organization
Contact information
Practice address
100 POWELL DR STE 5, DUNDEE, MI 48131-8645
(517) 920-4951
Mailing address
100 POWELL DR STE 5, DUNDEE, MI 48131-8645
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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