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1821272931
SCOTT ELLIS
TYLER, TX
NPI
1821272931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 12185)
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
Dr. SCOTT ELLIS DDS
5615 OLD BULLARD ROAD
TYLER, TX 75703-4306
Phone number: 903-561-3756
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Mailing Address
Dr. SCOTT ELLIS DDS
5615 OLD BULLARD RD
TYLER, TX 75703-4306
Phone number: 903-561-3756
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