DR. RANDALL ELLIS, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1740328046
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 3050 (AR) |
Frequently Asked Questions
NPI 1740328046 is the National Provider Identifier for DR. RANDALL ELLIS, D.D.S., a Dentist - General Practice provider located in Texarkana, AR. This NPI was enumerated on February 1, 2007.
DR. RANDALL ELLIS, D.D.S. practices at 312 ARKANSAS BLVD, Texarkana, AR 71854.
Quick Facts
- NPI
- 1740328046
- Type
- Individual
- Enumerated
- Feb 1, 2007
- Last Updated
- Jul 8, 2007
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