Steven L. Ellis, LD

NPI #1255565065 in Old Orchard Beach, Maine

Provider Information

NPI Number
1255565065
Entity Type
Individual
Name
Steven L. Ellis, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Denturist
Credential
LD
Enumeration Date
May 7, 2009
Last Updated
May 7, 2009

Practice Location

Address
155 SACO AVE
State
Maine
ZIP Code
04064-1600
Phone
(207) 934-5411

Specialties & Taxonomy Codes

Specialty
Denturist

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