Individual
DR. LYDIA BELL ELLERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2817 REILLY ST, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Mailing address
2817 REILLY ST, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023037
OH
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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