Individual
BENJAMIN ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3921 SHERMAN AVE, SAINT JOSEPH, MO 64506-4923
(816) 279-3300
Mailing address
3921 SHERMAN AVE, SAINT JOSEPH, MO 64506-4923
(816) 279-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008015526
MO
Other
Enumeration date
06/10/2008
Last updated
11/24/2014
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