RENALLA KAYE ELLIS

SHAWNEE, OK
NPI1548319130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5285)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- RENALLA KAYE ELLIS dds
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804-1839
Phone number: 405-273-2002
Mailing Address
-- RENALLA KAYE ELLIS dds
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804-1839
Phone number: 405-273-2002