DR. Ellis Gordon Marshall SR., DDS

NPI #1124188719 in Temple, Texas

Provider Information

NPI Number: 1124188719
Entity Type: Individual
Name: DR. Ellis Gordon Marshall SR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 18 SOUTH MAIN
Address 2: SUITE 516
City: Temple
State: Texas
ZIP Code: 76501
Phone: (254) 778-7261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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