Dr. Lynae D Ellis, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Janesville, WI. Individual provider (NPI-1).
NPI number1720161789
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161789
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lynae D Ellis
- Credential
- D.D.S., M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 5282015 | WI | Yes |
Practice location
1616 N Randall AveJanesville, WI 53545-1118
Phone 608-754-4998 · Fax 608-754-5652
Mailing address
1616 N Randall AveJanesville, WI 53545-1118
Phone 608-754-4998 · Fax 608-754-5652
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All 10 Orthodontics and Dentofacial Orthopedics Dentistry providers in Janesville · All 1,806 providers in Janesville
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