DR. Judith Diane Ellender, DDS

NPI #1063545614 in Sulphur, Louisiana

Provider Information

NPI Number
1063545614
Entity Type
Individual
Name
DR. Judith Diane Ellender, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
910 1ST AVE
Address 2
SUITE A
ZIP Code
70663-3425
Phone
(337) 527-6751

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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