Richard A. Ellis, DDS

NPI #1265537633 in Labelle, Florida

Provider Information

NPI Number: 1265537633
Entity Type: Individual
Name: Richard A. Ellis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 13, 2006
Last Updated: Apr 30, 2010

Practice Location

Address: 930 S MAIN ST
City: Labelle
State: Florida
ZIP Code: 33935-4444
Phone: (863) 675-0387

Specialties & Taxonomy Codes

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

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Organizations

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