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1427140151
DAVID ALAN ELLEDGE
FULTON, MO
NPI
1427140151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 12901)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. DAVID ALAN ELLEDGE D.D.S.
2424 N BLUFF ST
FULTON, MO 65251-2709
Phone number: 573-642-2444
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Mailing Address
Dr. DAVID ALAN ELLEDGE D.D.S.
1700 N CHAPMAN LN
COLUMBIA, MO 65202-3835
Phone number: 573-446-0909
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