GREGORY SEAN ELLIS

FORT WORTH, TX
NPI1821182106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  18765)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- GREGORY SEAN ELLIS DDS
7621 OAKMONT BLVD
FORT WORTH, TX 76132-4206
Phone number: 817-370-7776
Mailing Address
-- GREGORY SEAN ELLIS DDS
7621 OAKMONT BLVD
FORT WORTH, TX 76132-4206
Phone number: 817-370-7776