Individual
DR. AMANDA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6715 TIPPECANOE RD STE E102, CANFIELD, OH 44406-9183
(330) 702-9000
Mailing address
6715 TIPPECANOE RD STE E102, CANFIELD, OH 44406-9183
(330) 702-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025732
OH
Other
Enumeration date
05/12/2019
Last updated
08/17/2023
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