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Organization
EMPORIA SMILES DBA ELITE DENTAL
Active
Organization
EMPORIA SMILES DBA ELITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS W POLK DDS (OWNER/PRESIDENT)
(620) 342-3600
Entity
Organization
Contact information
Practice address
1409 STANTON ST, EMPORIA, KS 66801-6170
(620) 342-3600
(620) 340-8087
Mailing address
1409 STANTON ST, EMPORIA, KS 66801-6170
(620) 342-3600
(620) 340-8087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS60593
KS
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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