WILLARD JACKSON ELLIS

ROCKY MOUNT, NC
NPI1306965140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  4633)
Enumeration Date2007-03-29
Last Update Date2023-03-07
Business Address
-- WILLARD JACKSON ELLIS DDS
3136 SUNSET AVENUE
ROCKY MOUNT, NC 27804-3650
Phone number: 252-443-9121
Mailing Address
-- WILLARD JACKSON ELLIS DDS
3136 SUNSET AVENUE
ROCKY MOUNT, NC 27804-3650
Phone number: 252-443-9121