Individual
DR. SCOTT RICHARD ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
444 E TABERNACLE ST. #1, SAINT GEORGE, UT 84770
(435) 628-9099
(435) 673-3571
Mailing address
444 E TABERNACLE ST. #1, SAINT GEORGE, UT 84770
(435) 628-9099
(435) 673-3571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8362082
UT
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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