ELKRIDGE DENTAL SOUTH LLC

JACKSON, WY
NPI1538822374
Entity TypeOrganization
Authorized ContactNATHAN TANNER
President
503-866-8454
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
ELKRIDGE DENTAL SOUTH LLC
1315 S HWY 89
JACKSON, WY 83001-8514
Phone number: 307-733-4122
Mailing Address
ELKRIDGE DENTAL SOUTH LLC
PO BOX 1190
JACKSON, WY 83001-1190
Phone number: 307-733-2555
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