Individual
ELLIE M STODDART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 PAXTON AVE STE 12A, CINCINNATI, OH 45209-2399
(513) 898-1194
Mailing address
701 NAPA VALLEY LN, CRESTVIEW HILLS, KY 41017-5115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10765
KY
122300000X
Dentist
Primary
30.026980
OH
Other
Enumeration date
08/10/2022
Last updated
08/29/2022
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