DR. George Lewis Ellis, DDS

NPI #1891805834 in Grover, Missouri

Provider Information

NPI Number
1891805834
Entity Type
Individual
Name
DR. George Lewis Ellis, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2650 HIGHWAY 109 STE C
City
Grover
ZIP Code
63040-1163
Phone
(636) 458-3193

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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