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1154450294
MILTON KEITH ELLIS
JOHNSON CITY, TN
NPI
1154450294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN dsoo4187)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. MILTON KEITH ELLIS d.d.s.
2806 W MARKET ST
JOHNSON CITY, TN 37604-5166
Phone number: 423-434-1370
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Mailing Address
Dr. MILTON KEITH ELLIS d.d.s.
2806 W MARKET ST
JOHNSON CITY, TN 37604-5166
Phone number: 423-434-1370
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