Ellis, Mark L

Ellis, Mark L is an sole proprietor health care provider with primary practice located at 1075 Yorba Pl Suite 204, Placentia CA 92870-3152. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ellis, Mark L can be contacted via phone (714) 524-0656.

Contact Information

Primary practice address
1075 Yorba Pl Suite 204 Placentia CA 92870-3152
Phone: (714) 524-0656
Fax: (714) 524-0884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 33282 California

Profile Details

NPI number 1598857138
LBN Legal business name Ellis, Mark L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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