RICHARD LEROY ELLIS III

SALT LAKE CITY, UT
NPI1154429785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  59134909922)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Dr. RICHARD LEROY ELLIS III DDS
5 S 700 E SUITE B-30
SALT LAKE CITY, UT 84102-1135
Phone number: 801-355-3263
Mailing Address
Dr. RICHARD LEROY ELLIS III DDS
5 S 700 E SUITE B-30
SALT LAKE CITY, UT 84102-1135
Phone number: 801-355-3263
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