Individual
DR. BRUCE G. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3424 N. VERDUGO RD., GLENDALE, CA 91208
(818) 248-2295
(818) 248-3285
Mailing address
3424 N. VERDUGO RD., GLENDALE, CA 91208
(818) 248-2295
(818) 248-3285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22795
CA
Other
Enumeration date
11/13/2006
Last updated
04/11/2016
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