Organization
ELMORE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ELMORE DMD (DENTIST)
(816) 279-3300
Entity
Organization
Contact information
Practice address
3921 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-3300
Mailing address
3921 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
200815526
MO
Other
Enumeration date
11/11/2008
Last updated
11/25/2014
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