RANDY ELLIS

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1487823191

Practice Address

2015 BROADWAY ST
Pearland, TX 77581

Phone: (281) 485-6003

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 15404 (TX)

Frequently Asked Questions

NPI 1487823191 is the National Provider Identifier for RANDY ELLIS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Pearland, TX. This NPI was enumerated on February 27, 2008.
RANDY ELLIS practices at 2015 BROADWAY ST, Pearland, TX 77581.

Quick Facts

NPI
1487823191
Type
Individual
Enumerated
Feb 27, 2008
Last Updated
Feb 27, 2008

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