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1821182106
GREGORY SEAN ELLIS
FORT WORTH, TX
NPI
1821182106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 18765)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- GREGORY SEAN ELLIS DDS
7621 OAKMONT BLVD
FORT WORTH, TX 76132-4206
Phone number: 817-370-7776
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Mailing Address
-- GREGORY SEAN ELLIS DDS
7621 OAKMONT BLVD
FORT WORTH, TX 76132-4206
Phone number: 817-370-7776
Copy
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