Elite Dentistry & Orthodontics PLLC
Dentist in Arcola, TX. Organization (NPI-2).
NPI number1629802012
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1629802012
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Dentistry & Orthodontics PLLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 25, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
13630 Hwy 6Suite 600
Arcola, TX 77583
Phone 832-241-5040 · Fax 832-241-5065
Mailing address
13630 Hwy 6Suite 600
Arcola, TX 77583
Phone 832-241-5040 · Fax 832-241-5065
Authorized official
Ahmad Aidan Moayyed
General Dentist
7132980183
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