TIMOTHY RAY ELLIS

OMAHA, NE
NPI1801143813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  4536)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
-- TIMOTHY RAY ELLIS D.D.S
11836 ELM ST SUITE 1
OMAHA, NE 68144-4438
Phone number: 402-334-8208
Mailing Address
-- TIMOTHY RAY ELLIS D.D.S
11836 ELM ST SUITE 1
OMAHA, NE 68144-4438
Phone number: 402-334-8208
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