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1811998321
JENNIFER ELLIS
NORFOLK, VA
NPI
1811998321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5536-015)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER ELLIS D.D.S
1562 MITSCHER AVE SUITE 250
NORFOLK, VA 23551-2421
Phone number: 904-270-5602
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Mailing Address
Dr. JENNIFER ELLIS D.D.S
10901 BURNT MILL RD APT 1605
JACKSONVILLE, FL 32256-2872
Phone number: 904-705-5901
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