Individual
MR. MO K ELMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
228 BEEMAN PL, US ARMY DENTAL ACTIVITY, FT RILEY, KS 66442-7009
(785) 239-4174
Mailing address
228 BEEMAN PL, US ARMY DENTAL ACTIVITY, FT RILEY, KS 66442-7009
(785) 239-4174
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
002024309
CO
124Q00000X
Dental Hygienist
Primary
11998
KS
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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