Donald Alan Ellis D.D.S.

NPI 1699911230 - Dentist - 122300000X

NPI Details
NPI 1699911230
Gender Male
Enumeration Date 01/04/2009
Last Updated 01/04/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
2440 MEADOW ST
SAN LUIS OBISPO CA, 93401-5630, US
Phone (805) 547-9592
Fax
Business Location
2440 MEADOW ST
SAN LUIS OBISPO CA, 93401-5630, US
Phone (805) 547-9592
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 25135
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According to our database, Dr. Donald Alan Ellis D.D.S. NPI is 1699911230, taxonomy code is 122300000X and license number is 25135, license state is located at California. Donald Alan Ellis D.D.S. physically located at 2440 Meadow St, San Luis Obispo CA, 93401-5630. NPI Number Donald Alan Ellis D.D.S. has the Individual type.

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1699911230 NPI number is provided on an as is basis without warranty of any kind. 1699911230 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Alan Ellis D.D.S. are for informational purposes only.