TIMOTHY WAYNE ELLIS

TULSA, OK
NPI1669149944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OK  7797)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D011115)
Enumeration Date2021-08-25
Last Update Date2024-03-07
Business Address
Dr. TIMOTHY WAYNE ELLIS DMD
4955 S PEORIA AVE
TULSA, OK 74105-4629
Phone number: 918-895-6568
Mailing Address
Dr. TIMOTHY WAYNE ELLIS DMD
3929 W ANGELA DR
GLENDALE, AZ 85308-3012
Phone number: 720-427-4909
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