Individual
HOLLY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10296 BIG BEND RD STE 207, SAINT LOUIS, MO 63122-6582
(314) 965-1334
(314) 965-0679
Mailing address
10296 BIG BEND RD STE 207, SAINT LOUIS, MO 63122-6582
(314) 965-1334
(314) 965-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006021179
MO
Other
Enumeration date
08/30/2006
Last updated
01/19/2023
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