Elm Dental Care, Llc

NPI 1023258936 - Clinic/Center - 261QD0000X

NPI Details
NPI 1023258936
Enumeration Date 03/05/2009
Last Updated 06/20/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL R MICHAEL
Position OWNER
Phone (636) 916-4848
Fax (636) 916-1004
Practice Location
3820 ELM ST
SAINT CHARLES MO, 63301-4368, US
Phone (636) 916-4848
Fax (636) 916-1004
Business Location
3820 ELM ST
SAINT CHARLES MO, 63301-4368, US
Phone (636) 916-4848
Fax (636) 916-1004
Toxanomy
Taxonomy Code 261QD0000X
License State Missouri
License Number 2010021038
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According to our database, Elm Dental Care, Llc NPI is 1023258936, taxonomy code is 261QD0000X and license number is 2010021038, license state is located at Missouri. Elm Dental Care, Llc physically located at 3820 Elm St, Saint Charles MO, 63301-4368. NPI Number 1033115704 has the healthcare provider type.

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1023258936 NPI number is provided on an as is basis without warranty of any kind. 1023258936 is maintained by the National Plan & Provider Enumeration System. The contents of Elm Dental Care, Llc are for informational purposes only.