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1255353553
ALAN ELLSWORTH LINES
MESA, AZ
NPI
1255353553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 2094)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. ALAN ELLSWORTH LINES D.D.S.
855 E BROWN RD STE 11
MESA, AZ 85203-4949
Phone number: 480-833-8730
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Mailing Address
Dr. ALAN ELLSWORTH LINES D.D.S.
855 E BROWN RD STE 11
MESA, AZ 85203-4949
Phone number: 480-833-8730
Copy
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