DR. Larry Johnson Ellison, DDS

NPI #1235236217 in Omaha, Nebraska

Provider Information

NPI Number
1235236217
Entity Type
Individual
Name
DR. Larry Johnson Ellison, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Endodontics
Credential
DDS
Enumeration Date
Sep 20, 2006
Last Updated
Aug 28, 2008

Practice Location

Address
615 N 90TH ST
City
Omaha
ZIP Code
68114-2821
Phone
(402) 393-5050

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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