ELLIS CHAN BACK

VALLEJO, CA
NPI1841064094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  109664)
Enumeration Date2023-11-08
Last Update Date2023-11-08
Business Address
DR. ELLIS CHAN BACK DDS
3587 SONOMA BLVD
VALLEJO, CA 94590-2945
Phone number: 925-683-4799
Mailing Address
DR. ELLIS CHAN BACK DDS
962 EL CAJON DR
DANVILLE, CA 94526-1935
Phone number: 925-683-4799
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