Ellis, Larisa
Ellis, Larisa is an individual health care provider with primary practice located at 263 Main St , Old Saybrook CT 06475-2326. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Larisa can be contacted via phone (860) 388-4433.Contact Information
Primary practice address
263 Main St
Old Saybrook CT 06475-2326
Phone: (860) 388-4433
Fax: (860) 388-4434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 009502 | Connecticut |
Profile Details
| NPI number | 1881664514 |
|---|---|
| LBN Legal business name | Ellis, Larisa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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