Individual
DR. CLARENCE ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
650 E 25TH ST, SCHOOL OF DENTISTRY, KANSAS CITY, MO 64108-2716
(816) 235-2126
Mailing address
650 E 25TH ST, SCHOOL OF DENTISTRY, KANSAS CITY, MO 64108-2716
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7001
KS
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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