David John Ellingson DDS

NPI 1689856148 - Dentist - 122300000X

NPI Details
NPI 1689856148
Gender Male
Enumeration Date 11/27/2007
Last Updated 05/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
STE 104
MESA AZ, 85213-5508, US
Phone (480) 830-2956
Fax (480) 830-3019
Business Location
3549 E. BROWN RD.
STE 104
MESA AZ, 85213, US
Phone (480) 830-2956
Fax (490) 830-3019
Taxonomy Code 122300000X
License State Arizona
License Number 97397
Remove 1689856148 NPI Number

According to our database, David John Ellingson DDS NPI is 1689856148, taxonomy code is 122300000X and license number is 97397, license state is located at Arizona. David John Ellingson DDS physically located at 3549 E Brown Rd, Mesa AZ, 85213-5508. NPI Number David John Ellingson DDS has the Individual type.

1689856148 NPI number is provided on an as is basis without warranty of any kind. 1689856148 is maintained by the National Plan & Provider Enumeration System. The contents of David John Ellingson DDS are for informational purposes only.