Ellefson & Marelich Dental Corporation

LBN: Ellefson & Marelich Dental Corporation
Ellefson & Marelich Dental Corporation is an health care organization with primary practice located at 1100 Sonoma Ave Suite A, Santa Rosa CA 95405. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Ellefson & Marelich Dental Corporation can be contacted via phone (707) 527-0363, or through Ellefson, Laura David via phone (707) 527-0363.

Contact Information

Primary practice address
1100 Sonoma Ave Suite A Santa Rosa CA 95405
Fax: (707) 527-6735
Website:
Authorized official contact:
Name: Ellefson, Laura David Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS100710 California
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1942728241
LBN Legal business name Ellefson & Marelich Dental Corporation
DBA Doing business as
Authorized official Ellefson, Laura David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2017
Last updated Sep 7th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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