Individual
MITCHELL F ELLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 EDINBURGH CT, GREENVILLE, SC 29607-2530
(864) 235-3949
Mailing address
2031 LILLIAN DR, AUGUSTA, GA 30909-6902
(864) 235-3949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4479
SC
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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