Individual
DR. RICHARD GREGORY ELIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2504MECAIN, 202, NORTH LITTLE ROCK, AR 72116
(501) 771-7600
Mailing address
700 LAKETREELANE, SHERWOOD, AR 72120
(501) 833-3377
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2606
AR
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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