DR. Carol Ellens, DDS

NPI #1972171247 in Blaine, Minnesota

Provider Information

NPI Number: 1972171247
Entity Type: Individual
Name: DR. Carol Ellens, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 10945 ULYSSES ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-4185
Phone: (763) 784-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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