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Individual

DR. JAMES CLAYTON ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1710 HIGHLAND DR, PROSSER, WA 99350-1517
(509) 786-1881
(509) 786-7476
Mailing address
1710 HIGHLAND DR, PROSSER, WA 99350-1517
(509) 786-1881
(509) 786-7476

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60294430
WA

Other

Enumeration date
08/10/2012
Last updated
08/10/2012
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