Mitchell Ward Ellingson D.D.S.

NPI 1497956742 - Dentist - 1223G0001X

NPI Details
NPI 1497956742
Gender Male
Enumeration Date 05/31/2007
Last Updated 02/22/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
4530 E SHEA BLVD
PHOENIX AZ, 85028-6065, US
Phone (602) 992-4510
Fax
Business Location
4025 N FOUNDER CIR
BUCKEYE AZ, 85396-3686, US
Phone (623) 377-6185
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 7229
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According to our database, Dr. Mitchell Ward Ellingson D.D.S. NPI is 1497956742, taxonomy code is 1223G0001X and license number is 7229, license state is located at Arizona. Mitchell Ward Ellingson D.D.S. physically located at 4530 E Shea Blvd, Phoenix AZ, 85028-6065. NPI Number Mitchell Ward Ellingson D.D.S. has the Individual type.

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1497956742 NPI number is provided on an as is basis without warranty of any kind. 1497956742 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Ward Ellingson D.D.S. are for informational purposes only.