Elaine Grace G Ellorin Dmd Inc | |
911b East Duane Ave Sunnyvale CA 94085-3438 | |
(408) 736-7299 | |
(408) 736-7298 |
Full Name | Elaine Grace G Ellorin Dmd Inc |
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Speciality | Dentist |
Location | 911b East Duane Ave, Sunnyvale, California |
Authorized Official Name and Position | Elaine Grace Gacusan Ellorin (CHIEF EXECUTIVE OFFICER DENTIST) |
Authorized Official Contact | 4087367299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elaine Grace G Ellorin Dmd Inc 911b E Duane Ave Sunnyvale CA 94085-3438 Ph: (408) 736-7299 | Elaine Grace G Ellorin Dmd Inc 911b East Duane Ave Sunnyvale CA 94085-3438 Ph: (408) 736-7299 |
NPI Number | 1114063674 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 03/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114063674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 46788 (California) | Primary |
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