Mervin L. Ellstrom Dds, Inc

LBN: Mervin L. Ellstrom Dds, Inc
Mervin L. Ellstrom Dds, Inc is an health care organization with primary practice located at 12900 Perris Blvd Suite 101, Moreno Valley CA 92553-4135. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mervin L. Ellstrom Dds, Inc can be contacted via phone (951) 242-3431, or through Ellstrom, Mervin L via phone (951) 242-3431.

Contact Information

Primary practice address
12900 Perris Blvd Suite 101 Moreno Valley CA 92553-4135
Phone: (951) 242-3431
Fax: (951) 242-7570
Website:
Map and Directions
Authorized official contact:
Name: Ellstrom, Mervin L Doctor of Dental Surgery (DDS)
Phone: (951) 242-3431

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24928 California

Profile Details

NPI number 1912121781
LBN Legal business name Mervin L. Ellstrom Dds, Inc
DBA Doing business as
Authorized official Ellstrom, Mervin L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Jan 7th, 2010 - about 15 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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