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Ellen Judd, P.A
NPI 1972560480 · on the registry since 2006
Practice
- Address
- 1308 Bennett Ave
Burley, ID 83318 - Phone
- (208) 678-7796
- Fax
- (208) 678-7799
- Organisation at this address
- Evans Dental Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho