Organization
ELLIS TOOTH FAIRY PLLC
Active
Other names
ellis dental
Organization subpart
No
Provider details
NPI number
Authorized official
YUEXI CHEN DDS (MANANGER)
(646) 262-6648
Entity
Organization
Contact information
Practice address
2725 ELLIS AVE, FORT WORTH, TX 76164-7106
(646) 262-6648
(646) 262-6648
Mailing address
12070 BROWNWOOD DR, FRISCO, TX 75035-8860
(646) 262-6648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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