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Contact Information

ELITE DENTAL LLC
210 NEEL AVE
SOCORRO, NM87801-4649
 Phone: 505-226-2819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ELITE DENTAL LLC · (Female)

NPI Number 1376499897
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2026
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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