Elkhorn Dental
NPI #1699046011 in Elkhorn City, Kentucky
Provider Information
- NPI Number
- 1699046011
- Entity Type
- Organization
- Organization Name
- Elkhorn Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 17, 2012
- Last Updated
- Jan 17, 2012
Practice Location
- Address
- 155 E MAIN ST
- City
- Elkhorn City
- State
- Kentucky
- ZIP Code
- 41522-9043
- Phone
- (606) 754-0155
Authorized Official
- Name
- MR. JAMES D. JUSTICE, DMD
- Title
- OWNER
- Phone
- (606) 754-0155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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