TYSON ANDREW ELLENBECKER

FPO, AA
NPI1790127835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  D1019)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
Dr. TYSON ANDREW ELLENBECKER D.D.S.
1ST DENTAL BN/NDC CAMP PENDLETON BOX 555221
FPO, AA 92054-2055
Phone number: 760-725-5419
Mailing Address
Dr. TYSON ANDREW ELLENBECKER D.D.S.
1ST DENTAL BN/NDC CAMP PENDLETON BOX 555221
FPO, AA 92054
Phone number: