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1649617838
THOMAS ALAN ELLISOR
LAKE JACKSON, TX
NPI
1649617838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 28931)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
DR. THOMAS ALAN ELLISOR D.D.S.
103 N DIXIE DR
LAKE JACKSON, TX 77566-5940
Phone number: 979-297-6438
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Mailing Address
DR. THOMAS ALAN ELLISOR D.D.S.
137 W PHILLIPS RD
ANGLETON, TX 77515-9370
Phone number: 254-495-1376
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