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1396944526
EDA ELLIS
NEW YORK, NY
NPI
1396944526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NY 044489)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
MS. EDA ELLIS DDS
30 CENTRAL PARK S SUITE 7A
NEW YORK, NY 10019-1628
Phone number: 212-753-1119
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Mailing Address
MS. EDA ELLIS DDS
30 CENTRAL PARK S SUITE 7A
NEW YORK, NY 10019-1628
Phone number: 212-753-1119
Copy
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