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Individual
DR. ANGELA GAIL ELLIS
Active
Individual
DR. ANGELA GAIL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, P.A.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901565
—
NC
Enumeration date
09/27/2005
Last updated
07/08/2007
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