Emporia Smiles DBA Elite Dental

NPI #1518299080 in Emporia, Kansas

Provider Information

NPI Number: 1518299080
Entity Type: Organization
Organization Name: Emporia Smiles DBA Elite Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 8, 2010
Last Updated: Feb 8, 2010

Practice Location

Address: 1409 STANTON ST
City: Emporia
State: Kansas
ZIP Code: 66801-6170
Phone: (620) 342-3600

Authorized Official

Name: DR. CHRIS W POLK, DDS
Title: OWNER/PRESIDENT
Phone: (620) 342-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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