| Elkhart Pediatric Dentistry Ltd | |
|
4420 E Bristol St Elkhart IN 46514-6946 | |
| (574) 264-9499 | |
| Not Available |
| Full Name | Elkhart Pediatric Dentistry Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4420 E Bristol St, Elkhart, Indiana |
| Authorized Official Name and Position | Kristin Murphy (OWNER) |
| Authorized Official Contact | 8433243410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhart Pediatric Dentistry Ltd Po Box 2667 Telluride CO 81435-2667 Ph: () - | Elkhart Pediatric Dentistry Ltd 4420 E Bristol St Elkhart IN 46514-6946 Ph: (574) 264-9499 |
| NPI Number | 1669250361 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669250361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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