Organization
ELITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE WEIH MHA (COO)
(703) 577-4317
Entity
Organization
Contact information
Practice address
1025 N FILLMORE ST, C, ARLINGTON, VA 22201-6701
(703) 243-4500
(703) 243-4700
Mailing address
1025 N FILLMORE ST, C, ARLINGTON, VA 22201-6701
(703) 243-4500
(703) 243-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412031
VA
1223G0001X
General Practice Dentistry
0401414811
VA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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