Individual
DR. RUSSELL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3004 EMMORTON RD, ABINGDON, MD 21009-2024
(410) 569-7900
(410) 515-6675
Mailing address
3004 EMMORTON RD, ABINGDON, MD 21009-2024
(410) 569-7900
(410) 515-6675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8690
MD
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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