Individual
CONNOR GEORGE ELMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5495 NW 100TH ST, JOHNSTON, IA 50131-4808
(515) 331-1600
Mailing address
5495 NW 100TH ST, JOHNSTON, IA 50131-4808
(515) 331-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09099
IA
Other
Enumeration date
06/25/2014
Last updated
12/02/2019
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