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Individual
DR. PAMELA KIMBER ELLIS
Active
Individual
DR. PAMELA KIMBER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11648
MT
122300000X
Dentist
4934289-9921
UT
1223G0001X
General Practice Dentistry
Primary
11648
MT
1223G0001X
General Practice Dentistry
4934289-9921
UT
Other
Enumeration date
08/06/2012
Last updated
03/17/2026
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