| Ellis Endodontics | |
|
3290 Sepulvoda Blvd Torrance CA 90505 | |
| (310) 325-3100 | |
| (310) 325-3112 |
| Full Name | Ellis Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3290 Sepulvoda Blvd, Torrance, California |
| Authorized Official Name and Position | Todd T Nakata (PRESIDENT) |
| Authorized Official Contact | 3103253100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Endodontics 3290 Sepulvoda Blvd Torrance CA 90505 Ph: (310) 325-3100 | Ellis Endodontics 3290 Sepulvoda Blvd Torrance CA 90505 Ph: (310) 325-3100 |
| NPI Number | 1194939991 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194939991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 40170 (California) | Primary |
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