Randal W Ellis, DMD P.L.L.C
NPI #1154689636 in Everson, Washington
Provider Information
- NPI Number
- 1154689636
- Entity Type
- Individual
- Name
- Randal W Ellis, DMD P.L.L.C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD P.L.L.C
- Enumeration Date
- May 2, 2012
- Last Updated
- May 3, 2012
Practice Location
- Address
- 3739 MT BAKER HWY
- City
- Everson
- State
- Washington
- ZIP Code
- 98247-9406
- Phone
- (360) 592-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
| Alexander D Riel DDS Pllc | AI Deep Dive |
| Randal W Ellis Dmd Pllc | AI Deep Dive |
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