Courtney Cunningham Ellis, DDS

NPI #1003309592 in Dallas, Texas

Provider Information

NPI Number: 1003309592
Entity Type: Individual
Name: Courtney Cunningham Ellis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 11, 2018
Last Updated: Aug 22, 2019

Practice Location

Address: 1777 N RECORD ST APT 2402
City: Dallas
State: Texas
ZIP Code: 75202-1260
Phone: (806) 570-0488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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