Most Relevant Information
Provider Data
| NPI Number: | 1003309592 |
| Provider Name: | COURTNEY CUNNINGHAM ELLIS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 34172 |
Most Important Dates
| Enumeration Date: | 06/11/2018 |
| Last Updated: | 08/22/2019 |
Provider Practice Location
1777 N RECORD ST APT 2402
DALLAS
TX
752021260
Practice Location Phone/Fax
| Phone: | 8065700488 |
| Fax: |
Provider Mailing Location
1777 N RECORD ST APT 2402
DALLAS
TX
752021260
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |