DR. Teddy Lynn Ellis, D.D.S.
NPI #1295728756 in Ft Warren Afb, Wyoming
Provider Information
- NPI Number
- 1295728756
- Entity Type
- Individual
- Name
- DR. Teddy Lynn Ellis, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6900 ALDEN DR
- City
- Ft Warren Afb
- State
- Wyoming
- ZIP Code
- 82005-3906
- Phone
- (402) 651-1386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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