Organization
ELAINE GRACE G ELLORIN DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE GRACE GACUSAN ELLORIN DMD (CHIEF EXECUTIVE OFFICER DENTIST)
(408) 736-7299
Entity
Organization
Contact information
Practice address
911B EAST DUANE AVE, SUNNYVALE, CA 94085-3438
(408) 736-7299
(408) 736-7298
Mailing address
911B E DUANE AVE, SUNNYVALE, CA 94085-3438
(408) 736-7299
(408) 736-7298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46788
CA
Other
Enumeration date
01/30/2007
Last updated
03/20/2012
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