ROGER TERRY ELLIS

CLARKSVILLE, TN
NPI1396759189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TN  4003)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
ROGER TERRY ELLIS D.D.S.
1718 MEMORIAL DR
CLARKSVILLE, TN 37043-4542
Phone number: 931-552-4935
Mailing Address
ROGER TERRY ELLIS D.D.S.
1718 MEMORIAL DR
CLARKSVILLE, TN 37043-4542
Phone number: 931-552-4935
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