Ellsworthbeckham Pllc

NPI #1871036426 in Glendale, Arizona

Provider Information

NPI Number
1871036426
Entity Type
Organization
Organization Name
Ellsworthbeckham Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
ELLSWORTHBECKHAM PLLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 30, 2016
Last Updated
Nov 30, 2016

Practice Location

Address
5940 W UNION HILLS DR
Address 2
STE F110
State
Arizona
ZIP Code
85308-1308
Phone
(602) 863-7692

Authorized Official

Name
TY ELLSWORTH
Title
OWNER
Phone
(602) 863-7692

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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