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1578679643
BRANDON KEITH ELLIS
HAGERSTOWN, MD
NPI
1578679643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 12508)
Enumeration Date
2006-08-22
Last Update Date
2017-10-30
Business Address
Dr. BRANDON KEITH ELLIS DDS
19638 LEITERSBURG PIKE STE 103
HAGERSTOWN, MD 21742-1516
Phone number: 301-739-1100
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Mailing Address
Dr. BRANDON KEITH ELLIS DDS
19638 LEITERSBURG PIKE SUITE 103
HAGERSTOWN, MD 21742-1438
Phone number:
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