Individual provider · Type 1 NPI

Ellis Basil Memos, DDS

General Practice Dentistry · St. Louis, MO

NPI number 1245340025 Active

About NPI 1245340025

Ellis Basil Memos, DDS's National Provider Identifier is 1245340025, issued on Aug 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.