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Organization

ELLSWORTHBECKHAM PLLC

Active
Parent organization
ELLSWORTHBECKHAM PLLC
Other names
OnCall Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELLSWORTHBECKHAM PLLC
Authorized official
TY ELLSWORTH (OWNER)
(602) 863-7692
Entity
Organization

Contact information

Practice address
5940 W UNION HILLS DR, STE F110, GLENDALE, AZ 85308-1308
(602) 863-7692
Mailing address
5940 W UNION HILLS DR, STE F110, GLENDALE, AZ 85308-1308
(602) 863-7692

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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