Individual
DR. KRISTI MITCHELL ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 N NEWTON, EL DORADO, AR 71730
(870) 864-8900
(870) 864-8903
Mailing address
225 N NEWTON, EL DORADO, AR 71730
(870) 864-8900
(870) 864-8903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR3351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1309879
UNITED CONCORDIA
—
01
—
5W553
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/08/2006
Last updated
06/24/2024
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