Individual
DR. SEAN FRANK ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 EAST 12TH STREET, CASPER, WY 82601-3910
(307) 265-8505
(307) 265-2005
Mailing address
1212 EAST 12TH STREET, CASPER, WY 82601-3910
(307) 265-8505
(307) 265-2005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
825
WY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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