Individual
MRS. ERIN LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
805 CANTON ROAD, STE D, MARIETTA, GA 30060-0000
(770) 422-8264
(770) 422-4015
Mailing address
112 DAVID CT, HIRAM, GA 30141-5615
(770) 949-7793
(770) 422-4015
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/29/2009
Last updated
10/06/2010
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