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1407878697
DREW SAMUEL ELLENWOOD
FORT SMITH, AR
NPI
1407878697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AR 2781)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. DREW SAMUEL ELLENWOOD D.D.S.
520 S 14TH ST
FORT SMITH, AR 72901-4608
Phone number: 479-782-3005
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Mailing Address
Dr. DREW SAMUEL ELLENWOOD D.D.S.
520 S 14TH ST
FORT SMITH, AR 72901-4608
Phone number: 479-782-3005
Copy
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