Organization
NORMAN I. ELLOWAY D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN IVAN ELLOWAY D.D.S (DENTIST)
(415) 897-8338
Entity
Organization
Contact information
Practice address
1316 GRANT AVE, NOVATO, CA 94945-3100
(415) 897-8338
(415) 897-4729
Mailing address
1316 GRANT AVE, NOVATO, CA 94945-3100
(415) 897-8338
(415) 897-4729
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D21984
CA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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