Individual provider · Type 1 NPI

Mervin Lee Ellstrom, DDS

Dentist · Moreno Valley, CA

NPI number 1083052138 Active

Practice location

12900 Perris Blvd, Suite 101
Moreno Valley, CA 92553-4135

Fax (951) 242-7570

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X024928 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083052138

Mervin Lee Ellstrom, DDS's National Provider Identifier is 1083052138, issued on Jun 11, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 11, 2013.