DR. Richard Mark Ellis, DDS

NPI #1134153521 in Temple, Texas

Provider Information

NPI Number: 1134153521
Entity Type: Individual
Name: DR. Richard Mark Ellis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
Address 2: 1901 VETERANS MEMORIAL DR
City: Temple
State: Texas
ZIP Code: 76504
Phone: (254) 743-0758

Specialties & Taxonomy Codes

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

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