Elkridge Dental South LLC
NPI #1538822374 in Jackson, Wyoming
Provider Information
- NPI Number
- 1538822374
- Entity Type
- Organization
- Organization Name
- Elkridge Dental South LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 19, 2021
- Last Updated
- Oct 19, 2021
Practice Location
Authorized Official
- Name
- NATHAN TANNER
- Title
- PRESIDENT
- Phone
- (503) 866-8454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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