-- RANDAL W ELLIS DMD P.L.L.C ⚕️ Washington 1154689636

NPI	1154689636
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1223G0001X Dentist, General Practice (Licence: WA 00008470)
Enumeration Date	2012-05-02
Last Update Date	2012-05-03

-- RANDAL W ELLIS DMD P.L.L.C

3739 MT BAKER HWY

EVERSON, WA 98247-9406

Phone number: 360-592-1100

-- RANDAL W ELLIS DMD P.L.L.C

PO BOX 608

DEMING, WA 98244-0608

Phone number: 360-592-1100