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1326059122
VIRGIL EDWARD ELLIS
CONWAY, AR
NPI
1326059122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 3221)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. VIRGIL EDWARD ELLIS D.D.S.
405 HOGAN LN SUITE 2
CONWAY, AR 72034-8201
Phone number: 501-329-1994
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Mailing Address
Dr. VIRGIL EDWARD ELLIS D.D.S.
PO BOX 10605
CONWAY, AR 72034-0010
Phone number: 501-329-1994
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