DR. Robert P Ellison

NPI #1407138837 in New Haven, Indiana

Provider Information

NPI Number: 1407138837
Entity Type: Individual
Name: DR. Robert P Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Sep 12, 2011
Last Updated: Sep 12, 2011

Practice Location

Address: 615 PROFESSIONAL PARK DR
City: New Haven
State: Indiana
ZIP Code: 46774-1850
Phone: (260) 493-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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