MATTHEW RYAN ELLIS

ST LOUIS PARK, MN
NPI1639694672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D14822)
Additional Taxonomies122300000X Dentist
(Licence: CA  101852)
Enumeration Date2017-08-10
Last Update Date2024-02-22
Business Address
MATTHEW RYAN ELLIS DDS
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426-3900
Phone number: 952-933-3667
Mailing Address
MATTHEW RYAN ELLIS DDS
5389 EMPIRE LN N
PLYMOUTH, MN 55446-3916
Phone number: 949-769-1820
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