Individual
COURTNEY CUNNINGHAM ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1777 N RECORD ST APT 2402, DALLAS, TX 75202-1260
(806) 570-0488
Mailing address
1777 N RECORD ST APT 2402, DALLAS, TX 75202-1260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34172
TX
Other
Enumeration date
06/11/2018
Last updated
08/22/2019
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