Individual
DR. JOSEPH M. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2060 E PARIS AVE SE STE 210, GRAND RAPIDS, MI 49546-6113
(616) 949-7290
(616) 949-6108
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(616) 516-6278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014927
MI
Other
Enumeration date
01/08/2007
Last updated
10/17/2024
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