Individual
DR. DANNY RAY ELLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
449 MEADOWLARK ST, SHAW A F B, SC 29152-5020
(803) 895-6108
Mailing address
2323 GINGKO DR, SUMTER, SC 29150-2343
(803) 464-4896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4896
NC
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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