Organization
ELITE DENTAL GROUP, LLC
Active
Other names
State of the Art Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVISH A GURJAR DDS (OWNER)
(818) 746-5914
Entity
Organization
Contact information
Practice address
801 PLEASANT DR STE 160, ROCKVILLE, MD 20850-5831
(240) 683-8111
Mailing address
16337 COLUMBUS AVE, ROCKVILLE, MD 20855-2194
(818) 746-5914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
05/14/2024
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