| NPI | 1942529862 |
|---|---|
| Other Name | SIMONE A ELLIS DMD PC |
| Entity Type | Organization |
| Authorized Contact | SIMONE A ELLIS Owner/Dentist 281-969-7388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2011-09-27 |