Individual
ARAGON ELLWANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 SOUTHGATE AVE STE 200, DALY CITY, CA 94015-2302
(650) 991-0999
Mailing address
301 THE ALAMEDA UNIT 370, SAN JUAN BAUTISTA, CA 95045-7012
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
59576
CA
Other
Enumeration date
09/17/2010
Last updated
03/06/2023
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