Individual
DR. CHARLES JUSTUS ELKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
508 W PINE ST, FARMINGTON, MO 63640-1426
(573) 664-1100
(573) 664-1102
Mailing address
508 W PINE ST, FARMINGTON, MO 63640-1426
(573) 664-1100
(573) 664-1102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011014783
MO
Other
Enumeration date
06/08/2011
Last updated
06/17/2013
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