| Elk Dental Center | |
|
822 Main St Nw Elk River MN 55330-1696 | |
| (763) 441-2170 | |
| (763) 441-9045 |
| Full Name | Elk Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 822 Main St Nw, Elk River, Minnesota |
| Authorized Official Name and Position | Jeffrey Mark Jarmoluk (CEO) |
| Authorized Official Contact | 7634412170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Dental Center 822 Main St Nw Elk River MN 55330-1696 Ph: (763) 441-2170 | Elk Dental Center 822 Main St Nw Elk River MN 55330-1696 Ph: (763) 441-2170 |
| NPI Number | 1144366626 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144366626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10547 (Minnesota) | Primary |
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