DR. Scott Bradley Ellis, DMD

NPI #1093040800 in Dulles, Virginia

Provider Information

NPI Number
1093040800
Entity Type
Individual
Name
DR. Scott Bradley Ellis, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Oct 13, 2009
Last Updated
Oct 13, 2009

Practice Location

Address
23520 OVERLAND DR STE 134
City
Dulles
ZIP Code
20166-2197
Phone
(703) 661-3360

Specialties & Taxonomy Codes

Specialty
Dentist

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