| Mervin L. Ellstrom Dds, Inc | |
|
12900 Perris Blvd Suite 101 Moreno Valley CA 92553-4135 | |
| (951) 242-3431 | |
| (951) 242-7570 |
| Full Name | Mervin L. Ellstrom Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12900 Perris Blvd, Moreno Valley, California |
| Authorized Official Name and Position | Mervin L Ellstrom (OWNER PRESIDENT) |
| Authorized Official Contact | 9512423431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mervin L. Ellstrom Dds, Inc 12900 Perris Blvd Suite 101 Moreno Valley CA 92553-4135 Ph: (951) 242-3431 | Mervin L. Ellstrom Dds, Inc 12900 Perris Blvd Suite 101 Moreno Valley CA 92553-4135 Ph: (951) 242-3431 |
| NPI Number | 1912121781 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912121781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24928 (California) | Primary |
Lynn Daz, D.d.s. ,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24099 Postal Ave Ste 101, Moreno Valley, CA 92553 Phone: 951-601-1290 Fax: 951-601-1292 | |
Erik .d . Cabrera A Profesinal Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14435 Moreno Beach Dr, 108 A, Moreno Valley, CA 92555 Phone: 951-247-6000 Fax: 951-247-6114 | |
Newport Dental - Moreno Beach Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12761 Moreno Beach Dr Ste 103, Moreno Valley, CA 92555 Phone: 951-924-4594 | |
Pacific Smile Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25025 Red Maple Ln Ste 105, Moreno Valley, CA 92551 Phone: 951-924-6370 Fax: 951-924-6374 | |
Ram Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24941 Sunnymead Blvd, Moreno Valley, CA 92553 Phone: 951-924-2700 Fax: 951-924-3740 | |
Plaza Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23767d Sunnymead Blvd, Moreno Valley, CA 92553 Phone: 951-924-2433 Fax: 951-924-2433 | |
Dr. Kaseem Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24594 Sunnymead Blvd Ste X, Moreno Valley, CA 92553 Phone: 909-365-8908 |