Individual
DR. CRAIG ELGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2901 BROADWAY AVE, NORTH BEND, OR 97459-2219
(541) 756-3181
Mailing address
2901 BROADWAY AVE, NORTH BEND, OR 97459-2219
(541) 756-3181
(719) 576-1929
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10379
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE 60278162
WA
Other
Enumeration date
09/05/2012
Last updated
04/29/2019
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