Ellis K. List, D.d.s., P.a.
NPI #1821124256 in Durham, North Carolina
Provider Information
- NPI Number
- 1821124256
- Entity Type
- Organization
- Organization Name
- Ellis K. List, D.d.s., P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 1014 LAMOND AVE
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27701-2021
- Phone
- (919) 682-5327
Authorized Official
- Name
- DR. ELLIS KNOX LIST, D.D.S.
- Title
- PRESIDENT
- Phone
- (919) 682-5327
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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