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1427166024
WAYNE R. ELLIS
BOISE, ID
NPI
1427166024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: ID D-1522)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
DR. WAYNE R. ELLIS D.D.S.
6363 W EMERALD ST BUILDING 102
BOISE, ID 83704-8783
Phone number: 208-376-6307
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Mailing Address
DR. WAYNE R. ELLIS D.D.S.
6363 W EMERALD ST BUILDING 102
BOISE, ID 83704-8783
Phone number: 208-376-6307
Copy
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