| NPI | 1962020206 |
|---|---|
| Doing Business As | ELK MEADOW DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN BLAINE SHERWOOD Owner 316-347-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |