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DR. MATTHEW PATRICK ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 WEST CRESCENT SQUARE DR., GRAHAM, NC 27253
(336) 570-3882
(336) 570-3583
Mailing address
150 WEST CRESCENT SQUARE DR., GRAHAM, NC 27253
(336) 570-3882
(336) 570-3583

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9701
NC

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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