DR. Evan Bale Ellsworth, DMD

NPI #1003314535 in Henderson, Nevada

Provider Information

NPI Number
1003314535
Entity Type
Individual
Name
DR. Evan Bale Ellsworth, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jan 30, 2018
Last Updated
Mar 17, 2019

Practice Location

Address
2660 WINDMILL PKWY
State
Nevada
ZIP Code
89074-3385
Phone
(702) 990-2960

Specialties & Taxonomy Codes

Specialty
Dentist

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