LARISA ELLIS, DDS

Dentist - General Practice

Active Individual
NPI: 1881664514

Practice Address

263 MAIN ST
Old Saybrook, CT 06475

Phone: (860) 388-4433

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 009502 (CT)

Frequently Asked Questions

NPI 1881664514 is the National Provider Identifier for LARISA ELLIS, DDS, a Dentist - General Practice provider located in Old Saybrook, CT. This NPI was enumerated on January 25, 2006.
LARISA ELLIS, DDS practices at 263 MAIN ST, Old Saybrook, CT 06475.

Quick Facts

NPI
1881664514
Type
Individual
Enumerated
Jan 25, 2006
Last Updated
Jul 8, 2007

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