Individual
DR. RICHARD W. ELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 MAIN ST, TIFFIN, OH 44883-3063
(419) 447-1624
(419) 447-1654
Mailing address
6 MAIN ST, TIFFIN, OH 44883-3063
(419) 447-1624
(419) 447-1654
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13875
OH
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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