DR. Craig Meredith Ellison, DDS

NPI #1922119783 in Silverton, Oregon

Provider Information

NPI Number
1922119783
Entity Type
Individual
Name
DR. Craig Meredith Ellison, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
306 E MAIN ST
State
Oregon
ZIP Code
97381-1715
Phone
(503) 873-6118

Specialties & Taxonomy Codes

Specialty
Dentist

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