RICHARD D. ELLSWORTH

LAFAYETTE, IN
NPI1083714885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  7107)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
DR. RICHARD D. ELLSWORTH DDS
150 PROFESSIONAL CT. STE A
LAFAYETTE, IN 47905-5153
Phone number: 765-449-2757
Mailing Address
DR. RICHARD D. ELLSWORTH DDS
150 PROFESSIONAL CT. STE A
LAFAYETTE, IN 47905-5153
Phone number: 765-449-2757
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