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Organization
SUSAN ELLISON DDS PC
Active
Organization
SUSAN ELLISON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ELLISON KETTERER DDS (OWNER DENTIST)
(281) 890-2828
Entity
Organization
Contact information
Practice address
12850 JONES RD, # 103, HOUSTON, TX 77070
(281) 890-2828
(281) 897-9793
Mailing address
12850 JONES RD, # 103, HOUSTON, TX 77070
(281) 890-2828
(281) 897-9793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15975
TX
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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