VIRGIL EDWARD ELLIS

CONWAY, AR
NPI1326059122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  3221)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Dr. VIRGIL EDWARD ELLIS D.D.S.
405 HOGAN LN SUITE 2
CONWAY, AR 72034-8201
Phone number: 501-329-1994
Mailing Address
Dr. VIRGIL EDWARD ELLIS D.D.S.
PO BOX 10605
CONWAY, AR 72034-0010
Phone number: 501-329-1994