Organization
ELKINS DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK ELKINS D.M.D. (PRESIDENT)
(208) 369-4532
Entity
Organization
Contact information
Practice address
1110 S WASHINGTON AVE, EMMETT, ID 83617-3535
(208) 369-4532
Mailing address
1110 S WASHINGTON AVE, EMMETT, ID 83617-3535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3922
ID
Other
Enumeration date
10/27/2011
Last updated
03/28/2012
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