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1487823191
RANDY KYLE ELLIS
PEARLAND, TX
NPI
1487823191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 15404)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
-- RANDY KYLE ELLIS
2015 BROADWAY ST
PEARLAND, TX 77581-5698
Phone number: 281-485-6003
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Mailing Address
-- RANDY KYLE ELLIS
2015 BROADWAY ST
PEARLAND, TX 77581-5698
Phone number: 281-485-6003
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