Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MERVIN LEE ELLSTROM, DDS
Active Sole ProprietorDR. MERVIN LEE ELLSTROM, DDS is a Dentist healthcare provider located in MORENO VALLEY, California. NPI 1083052138 is currently active in the NPPES registry. Verify at CMS.
Dentist · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1083052138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2013 (13.168230100407 yrs)
- Last Updated
- Jun 11, 2013
- License
-
024928 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12900 PERRIS BLVDSUITE 101MORENO VALLEY, CA, 925534135Browse CA providers · Browse ZIP 92553
- Phone
- 9512423431
- Fax
- 9512427570
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HARRY ARJUN KARNA | DDS | 1336146976 |
| DR. ROBERT RICHARD IANNELLO | DDS | 1598851511 |
| DR. KORNELIA L PETROVA | DDS | 1740358787 |
| DR. NEVINE F MORSY | DDS | 1467520494 |
| DR. E KYU | DDS | 1164590881 |
| DR. ZAIDOON M HADADEEN | DDS | 1861560120 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.