Paul Joseph Ellis, D.D.S.

NPI #1740490515 in Richland, Michigan

Provider Information

NPI Number: 1740490515
Entity Type: Individual
Name: Paul Joseph Ellis, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8699 GULL RD
City: Richland
State: Michigan
ZIP Code: 49083-9647
Phone: (269) 629-9087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Gull Lake Dental Care PC	Dentist	Richland	AI Deep Dive

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