DR. Drew Samuel Ellenwood, D.D.S.
NPI #1407878697 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1407878697
- Entity Type
- Individual
- Name
- DR. Drew Samuel Ellenwood, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 520 S 14TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-4608
- Phone
- (479) 782-3005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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