Individual
JONATHAN CLINTON ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
12711 NARCOOSSEE RD BLDG B, #100, ORLANDO, FL 32832-4355
(407) 627-1235
Mailing address
10524 MOSS PARK RD STE 204-616, ORLANDO, FL 32832-5898
(678) 480-9808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24213
FL
Other
Enumeration date
04/10/2012
Last updated
01/31/2021
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