Organization
DRS ELLENDER AND ELLENDER A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ELLENDER DDS (SECRETARY)
(337) 527-6751
Entity
Organization
Contact information
Practice address
910 1ST AVE, SUITE A, SULPHUR, LA 70663-3425
(337) 527-6751
(337) 527-6751
Mailing address
910 1ST AVE, SUITE A, SULPHUR, LA 70663-3425
(337) 527-6751
(337) 527-6751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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