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1134153521
RICHARD MARK ELLIS
TEMPLE, TX
NPI
1134153521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14624)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
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
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Mailing Address
Dr. RICHARD MARK ELLIS DDS
10610 BRIDGEPORT DR
TEMPLE, TX 76502-6466
Phone number: 254-368-8494
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