C CHASE ELLINWOOD DDS LLC

FORT WAYNE, IN
NPI1316753916
Entity TypeOrganization
Authorized ContactCHARLES CHASE ELILNWOOD
Member
260-492-2640
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-12-09
Last Update Date2024-12-09
Business Address
C CHASE ELLINWOOD DDS LLC
5725 MAPLECREST RD STE 1
FORT WAYNE, IN 46835-4937
Phone number: 260-492-2640
Mailing Address
C CHASE ELLINWOOD DDS LLC
5725 MAPLECREST RD STE 1
FORT WAYNE, IN 46835-4937
Phone number:
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