Elaine Grace G Ellorin Dmd INC

NPI #1114063674 in Sunnyvale, California

Provider Information

NPI Number: 1114063674
Entity Type: Organization
Organization Name: Elaine Grace G Ellorin Dmd INC
Primary Specialty: Dentist
Enumeration Date: Jan 30, 2007
Last Updated: Mar 20, 2012

Practice Location

Address: 911B EAST DUANE AVE
City: Sunnyvale
State: California
ZIP Code: 94085-3438
Phone: (408) 736-7299

Authorized Official

Name: DR. ELAINE GRACE GACUSAN ELLORIN, DMD
Title: CHIEF EXECUTIVE OFFICER DENTIST
Phone: (408) 736-7299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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