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1316018328
BRUCE G. ELLIS
GLENDALE, CA
NPI
1316018328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 22795)
Enumeration Date
2006-11-13
Last Update Date
2016-04-11
Business Address
Dr. BRUCE G. ELLIS D.D.S.
3424 N. VERDUGO RD.
GLENDALE, CA 91208
Phone number: 818-248-2295
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Mailing Address
Dr. BRUCE G. ELLIS D.D.S.
3424 N. VERDUGO RD.
GLENDALE, CA 91208
Phone number: 818-248-2295
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