| Leonard I Ellis Dds Llc | |
|
4600 Church Rd Mount Laurel NJ 08054-3200 | |
| (856) 638-1800 | |
| Not Available |
| Full Name | Leonard I Ellis Dds Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4600 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Len Ellis (OWNER) |
| Authorized Official Contact | 8566381800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard I Ellis Dds Llc 4600 Church Rd Mount Laurel NJ 08054-3200 Ph: (856) 638-1800 | Leonard I Ellis Dds Llc 4600 Church Rd Mount Laurel NJ 08054-3200 Ph: (856) 638-1800 |
| NPI Number | 1770346223 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770346223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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