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Organization
ELKHORN DENTAL
Active
Organization
ELKHORN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D. JUSTICE DMD (OWNER)
(606) 754-0155
Entity
Organization
Contact information
Practice address
155 E MAIN ST, ELKHORN CITY, KY 41522-9043
(606) 754-0155
(606) 754-0151
Mailing address
155 E MAIN ST, P.O.BOX 1500, ELKHORN CITY, KY 41522-9043
(606) 754-0155
(606) 754-0151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7265
KY
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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