Organization
ELLIS K. LIST, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS KNOX LIST D.D.S. (PRESIDENT)
(919) 682-5327
Entity
Organization
Contact information
Practice address
1014 LAMOND AVE, DURHAM, NC 27701-2021
(919) 682-5327
(919) 688-4588
Mailing address
1014 LAMOND AVE, DURHAM, NC 27701-2021
(919) 682-5327
(919) 688-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5687
NC
Other
Enumeration date
02/27/2007
Last updated
07/29/2008
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