Michael Lynn Ellis D.D.S.

NPI 1487705695 - Dentist - 1223S0112X

NPI Details
NPI 1487705695
Gender Male
Enumeration Date 01/15/2007
Last Updated 05/12/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
24 N CHURCH ST
SUITE 206
WAILUKU HI, 96793-1680, US
Phone (808) 242-0077
Fax (808) 243-8004
Business Location
24 N CHURCH ST
SUITE 206
WAILUKU HI, 96793-1680, US
Phone (808) 242-0077
Fax (808) 243-8004
Toxanomy
Taxonomy Code 1223S0112X
License State Texas
License Number 14623
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According to our database, Dr. Michael Lynn Ellis D.D.S. NPI is 1487705695, taxonomy code is 1223S0112X and license number is 14623, license state is located at Texas. Michael Lynn Ellis D.D.S. physically located at 24 N Church St, Wailuku HI, 96793-1680. NPI Number Michael Lynn Ellis D.D.S. has the Individual type.

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1487705695 NPI number is provided on an as is basis without warranty of any kind. 1487705695 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lynn Ellis D.D.S. are for informational purposes only.