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1003891201
HEIDI SUSAN ELLIS
BETHESDA, MD
NPI
1003891201
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Former Name
HEIDI SUSAN BOREK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901018715)
Enumeration Date
2005-12-09
Last Update Date
2013-08-05
Business Address
Dr. HEIDI SUSAN ELLIS DDS
NAVAL POSTGRADUATE SCHOOL 8901 WISCONSIN AVE
BETHESDA, MD 20889-5602
Phone number: 301-295-0145
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Mailing Address
Dr. HEIDI SUSAN ELLIS DDS
NAVAL POSTGRADUATE SCHOOL 8901 WISCONSIN AVE
BETHESDA, MD 20889-5602
Phone number: 301-295-0145
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