Ty Ellsworth, DMD
NPI #1699124123 in Show Low, Arizona
Provider Information
- NPI Number
- 1699124123
- Entity Type
- Individual
- Name
- Ty Ellsworth, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 28, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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