CHARLES CHASE ELLINWOOD

FORT WAYNE, IN
NPI1598322083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12013137a)
Enumeration Date2019-05-21
Last Update Date2019-12-19
Business Address
Dr. CHARLES CHASE ELLINWOOD DDS
5725 MAPLECREST RD STE 1
FORT WAYNE, IN 46835-4937
Phone number: 260-370-6559
Mailing Address
Dr. CHARLES CHASE ELLINWOOD DDS
5725 MAPLECREST RD STE 1
FORT WAYNE, IN 46835-4937
Phone number:
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