Organization
GD NJ ELITE LLC
Active
Other names
Elite Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1 BETHANY RD STE 54, HAZLET, NJ 07730-1667
(732) 264-6202
Mailing address
1 BETHANY RD STE 54, HAZLET, NJ 07730-1667
(732) 264-6202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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