Individual
DR. CHAD W. ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
2843 ST. ROSE PKWY, SUITE 100, HENDERSON, NV 89052
(702) 531-5437
(702) 616-3565
Mailing address
1010 SWINGLINE DRIVE, HENDERSON, NV 89015
(702) 564-7869
(702) 616-3565
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-39
NV
Other
Enumeration date
09/05/2006
Last updated
07/09/2007
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