DR. Dick Tracy Ellison, DDS

NPI #1073616470 in Muncie, Indiana

Provider Information

NPI Number
1073616470
Entity Type
Individual
Name
DR. Dick Tracy Ellison, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1602 W JACKSON ST
City
Muncie
State
Indiana
ZIP Code
47303
Phone
(765) 289-0236

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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