Individual
DR. BENJAMIN ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
505 BACHELOR BUTTON ST, LAS VEGAS, NV 89138-6077
(424) 744-7695
Mailing address
505 BACHELOR BUTTON ST, LAS VEGAS, NV 89138-6077
(424) 744-7695
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6506
NV
Other
Enumeration date
05/11/2011
Last updated
08/05/2016
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