ELLIE SEVERANCE

ODESSA, MO
NPI1063254381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2024019283)
Enumeration Date2024-06-07
Last Update Date2024-06-07
Business Address
Dr. ELLIE SEVERANCE DDS
404 N 4TH ST
ODESSA, MO 64076-1152
Phone number: 573-691-7700
Mailing Address
Dr. ELLIE SEVERANCE DDS
728 HOBBS RD
JEFFERSON CITY, MO 65109-6817
Phone number: 573-691-7700
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