MERVIN LEE ELLSTROM

MORENO VALLEY, CA
NPI1083052138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  024928)
Enumeration Date2013-06-11
Last Update Date2013-06-11
Business Address
Dr. MERVIN LEE ELLSTROM dds
12900 PERRIS BLVD SUITE 101
MORENO VALLEY, CA 92553-4135
Phone number: 951-242-3431
Mailing Address
Dr. MERVIN LEE ELLSTROM dds
12900 PERRIS BLVD SUITE 101
MORENO VALLEY, CA 92553-4135
Phone number: 951-242-3431
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