RANDY KYLE ELLIS

PEARLAND, TX
NPI1487823191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: TX  15404)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
RANDY KYLE ELLIS
2015 BROADWAY ST
PEARLAND, TX 77581-5698
Phone number: 281-485-6003
Mailing Address
RANDY KYLE ELLIS
2015 BROADWAY ST
PEARLAND, TX 77581-5698
Phone number: 281-485-6003
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