Individual
DR. ELLEN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1160 JOHNSON AVE, SUITE 104, BRIDGEPORT, WV 26330-1487
(304) 842-2361
Mailing address
1160 JOHNSON AVE, SUITE 104, BRIDGEPORT, WV 26330-1487
(304) 842-2361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3902
WV
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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