Individual
DR. ELLYN MARKS O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11424 SULLIVAN RD, BATON ROUGE, LA 70818-3615
(225) 715-9990
Mailing address
11424 SULLIVAN RD STE A, BATON ROUGE, LA 70818-3615
(225) 261-6645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6854
LA
Other
Enumeration date
05/22/2018
Last updated
07/10/2019
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