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1598021016
JONATHAN CLINTON ELMORE
ORLANDO, FL
NPI
1598021016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL 24213)
Enumeration Date
2012-04-10
Last Update Date
2021-01-31
Business Address
JONATHAN CLINTON ELMORE D.D.S
12711 NARCOOSSEE RD BLDG B, #100
ORLANDO, FL 32832-4355
Phone number: 407-627-1235
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Mailing Address
JONATHAN CLINTON ELMORE D.D.S
10524 MOSS PARK RD STE 204-616
ORLANDO, FL 32832-5898
Phone number: 678-480-9808
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