| Children's Dentistry Of Elko | |
|
2578 Idaho St Elko NV 89801-4601 | |
| (775) 299-4790 | |
| Not Available |
| Full Name | Children's Dentistry Of Elko |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2578 Idaho St, Elko, Nevada |
| Authorized Official Name and Position | Dallin Young (PRESIDENT OWNER) |
| Authorized Official Contact | 2084049888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Elko 114 Minnie St Ste A Fairbanks AK 99701-3000 Ph: () - | Children's Dentistry Of Elko 2578 Idaho St Elko NV 89801-4601 Ph: (775) 299-4790 |
| NPI Number | 1922516475 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922516475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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