Organization
DR. ELLIS & ASSOCIATES, D.D.S., OF HOPEWELL, PLLC
Active
Other names
Ellis Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING MANAGER)
(612) 859-0444
Entity
Organization
Contact information
Practice address
3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
(804) 458-6733
Mailing address
3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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