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Individual

DR. ALBERT PHILIP ELLENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
102 RAMEY RD, HOUMA, LA 70360-4056
(985) 851-1234
Mailing address
102 RAMEY RD, HOUMA, LA 70360-4056
(985) 851-1234

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2813
LA

Other

Enumeration date
02/06/2009
Last updated
03/05/2014
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