Provider Demographics
NPI:1770316192
Name:DR. ELDIB MONORE, PLLC
Entity type:Organization
Organization Name:DR. ELDIB MONORE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECT OF BUSINESS OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-808-0000
Mailing Address - Street 1:5290 W BROOKSHIRE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-3794
Mailing Address - Country:US
Mailing Address - Phone:734-242-3311
Mailing Address - Fax:734-242-6482
Practice Address - Street 1:5290 W BROOKSHIRE ST STE 2
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3794
Practice Address - Country:US
Practice Address - Phone:734-242-3311
Practice Address - Fax:734-242-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty