DR. Andrew W Ellis, D.M.D.
NPI #1568710820 in Travis Afb, California
Provider Information
- NPI Number
- 1568710820
- Entity Type
- Individual
- Name
- DR. Andrew W Ellis, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 16, 2012
- Last Updated
- Apr 28, 2023
Practice Location
- Address
- 101 BODIN CIR
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Student in an Organized Health Care Education/Training Program |
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