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1992589444
ELLSWORTH DENTAL LP
HENDERSON, NV
NPI
1992589444
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Entity Type
Organization
Authorized Contact
SHANE L ELLSWOTH
Managing Member
503-476-5242
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-08-23
Last Update Date
2023-11-26
Business Address
ELLSWORTH DENTAL LP
53 E LAKE MEAD PKWY
HENDERSON, NV 89015-5832
Phone number: 702-566-4133
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Mailing Address
ELLSWORTH DENTAL LP
5701 W CHARLESTON BLVD STE 103
LAS VEGAS, NV 89146-1256
Phone number: 503-476-5242
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