Organization
ELITE ADVANCED DENTISTRY, PLLC.
Active
Parent organization
ELITE ADVANCED DENTISTRY, PLLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE ADVANCED DENTISTRY, PLLC.
Authorized official
DR. BRIAN LE D.M.D. (DIRECTOR)
(713) 722-8120
Entity
Organization
Contact information
Practice address
8538 HAMMERLY BLVD, SUITE B, HOUSTON, TX 77055-1468
(713) 722-8120
Mailing address
8538 HAMMERLY BLVD, SUITE B, HOUSTON, TX 77055-1468
(713) 722-8120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23046
TX
Other
Enumeration date
09/14/2014
Last updated
09/14/2014
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