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1073611547
RICHARD LEROY ELLIS II
SALT LAKE CITY, UT
NPI
1073611547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 1408449922)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. RICHARD LEROY ELLIS II DMD
5 S 700 E SUITE B-30
SALT LAKE CITY, UT 84102-1135
Phone number: 801-355-3263
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Mailing Address
Dr. RICHARD LEROY ELLIS II DMD
5 S 700 E SUITE B-30
SALT LAKE CITY, UT 84102-1135
Phone number: 801-355-3263
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