DR. Jon Charles Ellison, D.D.S.
NPI #1497841134 in Simi Valley, California
Provider Information
- NPI Number
- 1497841134
- Entity Type
- Individual
- Name
- DR. Jon Charles Ellison, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1939 ERRINGER RD
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-3524
- Phone
- (805) 527-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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