| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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