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1114619657
RANDALL A. ELLIS, DDS, PLLC
TEXARKANA, TX
NPI
1114619657
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Entity Type
Organization
Authorized Contact
RANDALL ALLEN ELLIS
Owner/Dentist
903-838-5506
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
RANDALL A. ELLIS, DDS, PLLC
4617 SUMMERHILL RD STE 3
TEXARKANA, TX 75503-2783
Phone number: 903-838-5506
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Mailing Address
RANDALL A. ELLIS, DDS, PLLC
4617 SUMMERHILL RD STE 3
TEXARKANA, TX 75503-2783
Phone number: 039-838-5506
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