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1114026572
JEFFREY ELLENBERG
CLEARWATER, FL
NPI
1114026572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN11742)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY ELLENBERG DMD
1430 BELCHER ROAD SOUTH
CLEARWATER, FL 33764
Phone number: 727-531-7751
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Mailing Address
Dr. JEFFREY ELLENBERG DMD
1430 BELCHER ROAD SOUTH
CLEARWATER, FL 33764
Phone number: 727-531-7751
Copy
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