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1306911581
DONALD MICHAEL ELLIS
ANNANDALE, VA
NPI
1306911581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: VA 0401411131)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Dr. DONALD MICHAEL ELLIS D.D.S.
4600 JOHN MARR DR STE 401
ANNANDALE, VA 22003-3310
Phone number: 703-750-9393
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Mailing Address
Dr. DONALD MICHAEL ELLIS D.D.S.
4600 JOHN MARR DR STE 401
ANNANDALE, VA 22003-3310
Phone number: 703-750-9393
Copy
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