Elkins Dentistry, Pllc

NPI #1699051250 in Emmett, Idaho

Provider Information

NPI Number: 1699051250
Entity Type: Organization
Organization Name: Elkins Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 27, 2011
Last Updated: Mar 28, 2012

Practice Location

Address: 1110 S WASHINGTON AVE
City: Emmett
State: Idaho
ZIP Code: 83617-3535
Phone: (208) 369-4532

Authorized Official

Name: CLARK ELKINS, D.M.D.
Title: PRESIDENT
Phone: (208) 369-4532

Specialties & Taxonomy Codes

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

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