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Organization
GREGORY ELLIS DDS PC
Active
Organization
GREGORY ELLIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG ELLIS DDS (DENTIST/OWNER)
(817) 370-7776
Entity
Organization
Contact information
Practice address
7621 OAKMONT BLVD, FORT WORTH, TX 76132-4206
(817) 370-7776
Mailing address
7621 OAKMONT BLVD, FORT WORTH, TX 76132-4206
(817) 370-7776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/29/2023
Last updated
04/04/2023
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