DR. WAYNE ELLIS, D.D.S.

Dentist - Endodontics

Active Individual
NPI: 1427166024

Practice Address

6363 W EMERALD ST
BUILDING 102
Boise, ID 83704

Phone: (208) 376-6307

Specialties

Specialty Code Primary License
Dentist - Endodontics 1223E0200X Yes D-1522 (ID)

Frequently Asked Questions

NPI 1427166024 is the National Provider Identifier for DR. WAYNE ELLIS, D.D.S., a Dentist - Endodontics provider located in Boise, ID. This NPI was enumerated on August 25, 2006.
DR. WAYNE ELLIS, D.D.S. practices at 6363 W EMERALD ST, BUILDING 102, Boise, ID 83704.

Quick Facts

NPI
1427166024
Type
Individual
Enumerated
Aug 25, 2006
Last Updated
Jul 8, 2007

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