Organization
ELM DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R LEUCHTMANN D.D.S. (OWNER)
(636) 916-4848
Entity
Organization
Contact information
Practice address
3820 ELM ST, SAINT CHARLES, MO 63301-4368
(636) 916-4848
(636) 916-1004
Mailing address
3820 ELM ST, SAINT CHARLES, MO 63301-4368
(636) 916-4848
(636) 916-1004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2010021038
MO
Other
Enumeration date
03/05/2009
Last updated
06/20/2012
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