JON MATTHEW ELLENBECKER

SIOUX FALLS, SD
NPI1982792289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  M887)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Dr. JON MATTHEW ELLENBECKER DDS
5201 S WESTERN AVE
SIOUX FALLS, SD 57108-5004
Phone number: 605-339-2200
Mailing Address
Dr. JON MATTHEW ELLENBECKER DDS
5201 S WESTERN AVE
SIOUX FALLS, SD 57108-5004
Phone number: 605-339-2200
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