RICHARD MARK ELLIS

TEMPLE, TX
NPI1134153521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  14624)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Dr. RICHARD MARK ELLIS DDS
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM 1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Phone number: 254-743-0758
Mailing Address
Dr. RICHARD MARK ELLIS DDS
10610 BRIDGEPORT DR
TEMPLE, TX 76502-6466
Phone number: 254-368-8494
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