Individual
MADISEN PAIGE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 W FAIR AVE, LANCASTER, OH 43130-1804
(740) 654-3660
Mailing address
115 W FAIR AVE, LANCASTER, OH 43130-1804
(740) 654-3660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30027304
OH
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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