Organization
BRUCE G ELLIS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE G ELLIS DDS (PRESIDENT)
(818) 248-2295
Entity
Organization
Contact information
Practice address
3424 N VERDUGO ROAD, GLENDALE, CA 91208
(818) 248-2295
(818) 248-3285
Mailing address
3424 N VERDUGO ROAD, 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
08/22/2020
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