| NPI | 1841471737 |
|---|---|
| Doing Business As | ELLIS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JULIA C ELLIS Office Manager 804-458-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 5245) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 11395) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |