Individual
DR. ROYAL ELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
MILWAUKEE VA MEDICAL CENTER / DENTAL CLINIC, 5000 NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4162
Mailing address
7995 W LAKE POINTE DR, FRANKLIN, WI 53132-8529
(414) 384-2000
(414) 389-4162
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5001965
WI
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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