Individual
DR. HARVEY S ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
29055 FORD RD, STE A, GARDEN CITY, MI 48135-2964
(734) 522-3510
(734) 522-3526
Mailing address
29055 FORD RD, STE A, GARDEN CITY, MI 48135-2964
(734) 522-3510
(734) 522-3526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008982
MI
Other
Enumeration date
07/05/2005
Last updated
09/17/2007
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