Organization
AMANDA ELLING DDS PLLC
Active
Other names
Elkhart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LEIGH ELLING DDS (OWNER)
(903) 764-5531
Entity
Organization
Contact information
Practice address
313 W PARKER ST STE A, ELKHART, TX 75839-7612
(903) 764-5531
Mailing address
428 AN COUNTY ROAD 133, ELKHART, TX 75839-6104
(817) 709-3006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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