Provider First Line Business Practice Location Address:
5597 TULIP ST ELITE DENTAL LLC
Provider Second Line Business Practice Location Address:
STE B-4
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19124-8008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-288-8008
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2026