| NPI | 1831419811 |
|---|---|
| Professional Name | JOSHUA LEVI ELLISS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM dd3482) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 25432) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2020-10-05 |