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Lc Elite Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
LC ELITE PLLC14872563922020-11-15
Other Names:
Entity TypeOrganization
Provider OrganizationLC ELITE PLLC
Practice Office Address176 GULF FWY S
LEAGUE CITY, TX US
Practice Office Telephone8326208516
Mailing Address12435 ADAMS RIDGE LN
HUMBLE, TX 773461869 US
Business Telephone8326208516
Authorized OfficialOREOLUWA ANUOLUWAPO ADEGUN, GENERAL DENTIST
8326208516
Contact Endpoints
Other URL []leaguecityelitedentistry.com
HPT Codes
CodeLicense NoState
261QD0000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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