Individual
DAVID JOHN ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3549 E BROWN RD, STE 104, MESA, AZ 85213-5508
(480) 830-2956
(480) 830-3019
Mailing address
3549 E. BROWN RD., STE 104, MESA, AZ 85213
(480) 830-2956
(490) 830-3019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
97397
AZ
Other
Enumeration date
11/27/2007
Last updated
05/13/2011
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