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ERIC ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS PC

Contact information

Practice address
4600 FAIRMONT PKWY, SUITE 204, PASADENA, TX 77504-3335
(281) 991-1361
(281) 991-9190
Mailing address
4600 FAIRMONT PKWY, SUITE 204, PASADENA, TX 77504-3335
(281) 991-1361
(281) 991-9190

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18175
TX

Other

Enumeration date
11/26/2008
Last updated
11/26/2008
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