| Dr Ellis Chan Back, DDS | |
|
3587 Sonoma Blvd, Vallejo, CA 94590-2945 | |
| (925) 683-4799 | |
| Not Available |
| Full Name | Dr Ellis Chan Back |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3587 Sonoma Blvd, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841064094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 109664 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellis Chan Back, DDS 962 El Cajon Dr, Danville, CA 94526-1935 Ph: (925) 683-4799 | Dr Ellis Chan Back, DDS 3587 Sonoma Blvd, Vallejo, CA 94590-2945 Ph: (925) 683-4799 |
Dr. Steve C. Dacasin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 96 Springstowne Center, Suite A, Vallejo, CA 94591 Phone: 707-644-5528 Fax: 707-644-5529 | |
Sandeep Kumar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400 Sonoma Blvd, Vallejo, CA 94590 Phone: 707-554-4000 | |
Eugene P Luna, DDS Dentist Medicare: Medicare Enrolled Practice Location: 415 Georgia St, Vallejo, CA 94590 Phone: 707-558-2000 Fax: 707-644-3507 | |
Mark Watanabe, Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Walnut Ave, Vallejo, CA 94592 Phone: 707-562-8229 | |
Dr. Noel Austria Fernandez, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2629 Springs Rd, Vallejo, CA 94591 Phone: 707-674-2777 Fax: 707-642-2890 | |
Suzanne Clift, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Rotary Way, Vallejo, CA 94591 Phone: 707-643-7654 | |
Dr. Quincy Chi-chian Tan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St Ste 224, Vallejo, CA 94589 Phone: 707-643-7885 Fax: 707-643-8633 |