Individual
ELLIS SHWARTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
375 MUNICIPAL DR STE 114, RICHARDSON, TX 75080
(972) 437-6035
Mailing address
375 MUNICIPAL DR STE 114, RICHARDSON, TX 75080-3543
(972) 437-6035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32122
TX
Other
Enumeration date
08/12/2016
Last updated
06/05/2019
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