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1730258153
JAMES WADE ELLIOTT
COLUMBIA, MO
NPI
1730258153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 010652)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. JAMES WADE ELLIOTT D.D.S.
1 E BROADWAY
COLUMBIA, MO 65203-4205
Phone number: 573-449-2858
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Mailing Address
Dr. JAMES WADE ELLIOTT D.D.S.
2702 BAYONNE CT
COLUMBIA, MO 65203-1407
Phone number: 573-445-3194
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