Individual
DR. DREW SAMUEL ELLENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 S 14TH ST, FORT SMITH, AR 72901-4608
(479) 782-3005
(479) 494-7490
Mailing address
520 S 14TH ST, FORT SMITH, AR 72901-4608
(479) 782-3005
(479) 494-7490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2781
AR
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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