MARK ALLEN ELLIS

GREENWOOD, IN
NPI1184719262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12010547A)
Enumeration Date2006-10-04
Last Update Date2018-12-13
Business Address
Dr. MARK ALLEN ELLIS DDS
910 AVERITT RD
GREENWOOD, IN 46143-9540
Phone number: 317-859-9450
Mailing Address
Dr. MARK ALLEN ELLIS DDS
910 AVERITT RD
GREENWOOD, IN 46143-9540
Phone number: 317-859-9450
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