DR. ELLIS BACK, DDS

Dentist

Active Individual
NPI: 1841064094

Practice Address

3587 SONOMA BLVD
Vallejo, CA 94590

Phone: (925) 683-4799

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 109664 (CA)

Frequently Asked Questions

NPI 1841064094 is the National Provider Identifier for DR. ELLIS BACK, DDS, a Dentist provider located in Vallejo, CA. This NPI was enumerated on November 8, 2023.
DR. ELLIS BACK, DDS practices at 3587 SONOMA BLVD, Vallejo, CA 94590.

Quick Facts

NPI
1841064094
Type
Individual
Enumerated
Nov 8, 2023
Last Updated
Nov 8, 2023

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