John Richard Ellenbecker JR. D.D.S.

NPI 1689835050 - Dentist - 122300000X

NPI Details
NPI 1689835050
Gender Male
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2211 JORDAN AVE
JUNEAU AK, 99801-8050, US
Phone (907) 789-3696
Fax (907) 789-6852
Business Location
2211 JORDAN AVE
JUNEAU AK, 99801-8050, US
Phone (907) 789-3696
Fax (907) 789-6852
Toxanomy
Taxonomy Code 122300000X
License State Alaska
License Number AA0546
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According to our database, Dr. John Richard Ellenbecker JR. D.D.S. NPI is 1689835050, taxonomy code is 122300000X and license number is AA0546, license state is located at Alaska. John Richard Ellenbecker JR. D.D.S. physically located at 2211 Jordan Ave, Juneau AK, 99801-8050. NPI Number John Richard Ellenbecker JR. D.D.S. has the Individual type.

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1689835050 NPI number is provided on an as is basis without warranty of any kind. 1689835050 is maintained by the National Plan & Provider Enumeration System. The contents of John Richard Ellenbecker JR. D.D.S. are for informational purposes only.