Organization
ELMORE JR DDS PLLC
Active
Other names
About Face Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMINE R ELMORE DDS, CSOM (PRESIDENT/CEO)
(252) 916-5875
Entity
Organization
Contact information
Practice address
4414 LAKE BOONE TRL STE 111, RALEIGH, NC 27607-7514
(804) 387-7002
Mailing address
4049 LANDOVER PEAK PL, RALEIGH, NC 27616-9796
(252) 916-5875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
05/09/2023
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