David Alan Ellsworth, DDS

NPI #1184804221 in Petoskey, Michigan

Provider Information

NPI Number
1184804221
Entity Type
Individual
Name
David Alan Ellsworth, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 6, 2007
Last Updated
Nov 6, 2007

Practice Location

Address
523 W JEFFERSON ST
ZIP Code
49770-2271
Phone
(231) 347-8899

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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