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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MERVIN L. ELLSTROM DDS, INC

Active Organization

MERVIN L. ELLSTROM DDS, INC is a General Dentistry organization located in MORENO VALLEY, California. NPI 1912121781 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MORENO VALLEY, CA

Registration Details

NPI Number
1912121781
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.157062879882 yrs)
Last Updated
Jan 7, 2010
License
24928 (CA)

Practice Information

Address
12900 PERRIS BLVD
SUITE 101
MORENO VALLEY, CA, 925534135
Browse CA providers · Browse ZIP 92553
Phone
9512423431
Fax
9512427570
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.