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1932100252
DANIEL OTIS ELLERT
BETHESDA, MD
NPI
1932100252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: PA DS027608L)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Dr. DANIEL OTIS ELLERT DDS
8901 WISONSIN AVE.
BETHESDA, MD 20889-0001
Phone number: 301-295-0357
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Mailing Address
Dr. DANIEL OTIS ELLERT DDS
4909 ALTHEA DR
ANNANDALE, VA 22003-4141
Phone number: 703-503-0701
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