DR. Richard Leroy Ellis II, DMD
NPI #1073611547 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1073611547
- Entity Type
- Individual
- Name
- DR. Richard Leroy Ellis II, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5 S 700 E
- Address 2
- SUITE B-30
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-1135
- Phone
- (801) 355-3263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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