Organization
GREENLEAF FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RAYMOND FLORA DDS (OWNER)
(574) 262-9619
Entity
Organization
Contact information
Practice address
1520 OSOLO RD, ELKHART, IN 46514-4122
(574) 262-9619
(574) 262-5376
Mailing address
1520 OSOLO RD, ELKHART, IN 46514-4122
(574) 262-9619
(574) 262-5376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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