NPI 1033888201

Emilie Bonovitch Ellis, RDH

Practitioner Dental Hygienist Manakin Sabot, VA

Practice location

Address: 27 Briggs Dr STE a, Manakin Sabot, VA 23103-2250
Phone: (804) 784-2386
Mailing address: 8801 Nesbit Ferry Ln, Chesterfield, VA 23832-2133

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0402206328 (VA)

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Registry record

NPI: 1033888201
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2021
Record last updated: 10 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.