DR. Mehrl Keck Ellsworth, D.D.S.,P.C.
NPI #1659458651 in Litchfield Park, Arizona
Provider Information
- NPI Number
- 1659458651
- Entity Type
- Individual
- Name
- DR. Mehrl Keck Ellsworth, D.D.S.,P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.,P.C.
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 111 W WIGWAM BLVD
- Address 2
- SUITE A
- City
- Litchfield Park
- State
- Arizona
- ZIP Code
- 85340-4636
- Phone
- (623) 935-9376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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