Individual
DR. DANIEL OTIS ELLERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8901 WISONSIN AVE., BETHESDA, MD 20889-0001
(301) 295-0357
Mailing address
4909 ALTHEA DR, ANNANDALE, VA 22003-4141
(703) 503-0701
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS027608L
PA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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