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1962571687
MONA TW ELLIS
ORANGEBURG, SC
NPI
1962571687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 2103)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. MONA TW ELLIS DMD
1289 BOULEVARD ST
ORANGEBURG, SC 29115-3401
Phone number: 803-533-0626
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Mailing Address
Dr. MONA TW ELLIS DMD
1289 BOULEVARD ST
ORANGEBURG, SC 29115-3401
Phone number: 803-533-0626
Copy
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