| Organization Name: | ELITE FAMILY DENTAL CARE |
| NPI Number: | 1851775621 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELKAN LINN (DOCTOR) |
| Mailing Address: | 103 N White Horse Pike Laurel Springs |
| State: | NJ US |
| Postal Code: | 080211648 |
| Phone Number: | 8567844788 |
| Fax Number: | 8567843017 |
| NPI Enumeration Date: | 07/11/2015 |
| NPI Last Update Date: | 07/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI02010100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |