Organization
KATHLEEN ELLSWORTH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ELLSWORTH (DENTIST)
(616) 642-3500
Entity
Organization
Contact information
Practice address
60 N BRIDGE ST, SARANAC, MI 48881-5109
(616) 642-3500
(616) 642-3600
Mailing address
PO BOX 70, SARANAC, MI 48881-0070
(616) 642-3500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/07/2022
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