Ellyse Look, DMD

NPI #1619647583 in Roseburg, Oregon

Provider Information

NPI Number: 1619647583
Entity Type: Individual
Name: Ellyse Look, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 1729 W HARVARD AVE STE 1
City: Roseburg
State: Oregon
ZIP Code: 97471-2795
Phone: (541) 673-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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