EARL ELLIS

BILOXI, MS
NPI1831150333
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: TX  14, 622)
Enumeration Date2006-04-01
Last Update Date2007-07-08
Business Address
DR. EARL ELLIS D.D.S., M.S
606 FISHER ST
BILOXI, MS 39534-2513
Phone number: 228-377-4510
Mailing Address
DR. EARL ELLIS D.D.S., M.S
2475 PROVENCE PL
BILOXI, MS 39531-2285
Phone number:
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