KEVIN JOHN ELLIS

VIRGINIA BEACH, VA
NPI1477526069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: VA  7176)
Enumeration Date2006-02-13
Last Update Date2007-07-08
Business Address
DR. KEVIN JOHN ELLIS DMD
205 34TH ST SUITE 112
VIRGINIA BEACH, VA 23451-2836
Phone number: 757-428-5491
Mailing Address
DR. KEVIN JOHN ELLIS DMD
1360 LITTLE NECK RD
VIRGINIA BEACH, VA 23452-4740
Phone number: 757-631-0553
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