MICHAEL ROY ELLIS

BRISTOL, CT
NPI1003968983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  007856)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ROY ELLIS DMD
789 FARMINGTON AVE
BRISTOL, CT 06010-3919
Phone number: 860-583-6056
Mailing Address
Dr. MICHAEL ROY ELLIS DMD
789 FARMINGTON AVE
BRISTOL, CT 06010-3919
Phone number: 860-583-6056
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