Organization
ELKHART DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES HART DDS (OWNER)
(620) 792-5523
Entity
Organization
Contact information
Practice address
509 S. COSMOS, ELKHART, KS 67950
(620) 697-2253
Mailing address
PO BOX 68, ELKHART, KS 67950-0068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60403
KS
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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