DR. Ellen Ross, D.D.S.

NPI #1144538745 in Bridgeport, West Virginia

Provider Information

NPI Number: 1144538745
Entity Type: Individual
Name: DR. Ellen Ross, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 16, 2010
Last Updated: Sep 16, 2010

Practice Location

Address: 1160 JOHNSON AVE
Address 2: SUITE 104
City: Bridgeport
State: West Virginia
ZIP Code: 26330-1487
Phone: (304) 842-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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