Individual
DR. DAVID ELIMELECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2867 WALDEN BLVD APT 206, CAPE GIRARDEAU, MO 63701-7433
(818) 445-4546
Mailing address
2867 WALDEN BLVD APT 206, CAPE GIRARDEAU, MO 63701-7433
(818) 445-4546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011026140
MO
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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