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Individual

DR. JANIFER DORMAN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10 SUNNYBROOK RD, CLINIC D, RALEIGH, NC 27610-1808
(919) 250-4610
Mailing address
1102 PINEDALE RD, APEX, NC 27523-9296
(919) 481-2239

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5489
NC

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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