Justin Kade Ellis
NPI #1356803712 in Brentwood, Tennessee
Provider Information
- NPI Number
- 1356803712
- Entity Type
- Individual
- Name
- Justin Kade Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 4, 2019
- Last Updated
- Jun 28, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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