LARRY JOHNSON ELLISON

OMAHA, NE
NPI1235236217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: NE  5949)
Enumeration Date2006-09-20
Last Update Date2008-08-28
Business Address
Dr. LARRY JOHNSON ELLISON DDS
615 N 90TH ST
OMAHA, NE 68114-2821
Phone number: 402-393-5050
Mailing Address
Dr. LARRY JOHNSON ELLISON DDS
615 N 90TH ST
OMAHA, NE 68114-2821
Phone number: 402-393-5050
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