Organization
JUSTIN C EWELL DMD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN ELWELL (OWNER)
(623) 734-1506
Entity
Organization
Contact information
Practice address
7708 W BELL RD STE 103, GLENDALE, AZ 85308-8741
(623) 734-1506
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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