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Individual

DR. JENNIFER JANEE' ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1820 W LINCOLN ST, BOZEMAN, MT 59715-5411
(406) 586-5094
(406) 587-3872
Mailing address
1820 W LINCOLN ST, BOZEMAN, MT 59715-5411
(406) 586-5094
(406) 587-3872

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9707
MT

Other

Enumeration date
11/18/2008
Last updated
08/23/2021
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