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1740304542
JACQUELINE DENISE ELLIS
MIAMI, FL
NPI
1740304542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN0011584)
Enumeration Date
2007-03-19
Last Update Date
2007-07-09
Business Address
Dr. JACQUELINE DENISE ELLIS dmd
5535 NW 7TH AVE
MIAMI, FL 33127-1401
Phone number: 305-759-1145
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Mailing Address
Dr. JACQUELINE DENISE ELLIS dmd
1607 PRESIDENTIAL WAY
MIAMI, FL 33179-6437
Phone number: 305-757-7763
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