DICK TRACY ELLISON

MUNCIE, IN
NPI1073616470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  6592)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
Dr. DICK TRACY ELLISON DDS
1602 W JACKSON ST
MUNCIE, IN 47303
Phone number: 765-289-0236
Mailing Address
Dr. DICK TRACY ELLISON DDS
1602 W JACKSON ST
MUNCIE, IN 47303
Phone number: 765-289-0236
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