Randal Ellis, DMD P.L.L.C

NPI 1154689636 · on the registry since 2012 · sole proprietor

Practice

Address: 3739 Mt Baker Hwy
Everson, WA 98247
Phone: (360) 592-1100
Fax: (360) 592-5067
Organisation at this address: Gordon Kelch Dds Pllc
Randal W Ellis Dmd Pllc
Alexander D Riel Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington