| Organization Name: | DENT D' ELITE LLC |
| NPI Number: | 1144692849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADRIANA CARAGEA (MANAGER) |
| Mailing Address: | 570 South Ave E Unit B Cranford |
| State: | NJ US |
| Postal Code: | 070163200 |
| Phone Number: | 9082768600 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2015 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI02451700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |