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1073516365
JERRY R ELLIS DDS PC
MIDLOTHIAN, TX
NPI
1073516365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13742)
Enumeration Date
2005-05-31
Last Update Date
2023-03-09
Business Address
JERRY R ELLIS DDS PC
404 W MAIN ST
MIDLOTHIAN, TX 76065-2946
Phone number: 972-775-2345
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Mailing Address
JERRY R ELLIS DDS PC
404 W MAIN ST
MIDLOTHIAN, TX 76065-2946
Phone number: 972-775-2345
Copy
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