Individual provider · Type 1 NPI

Aragon Ellwanger

Oral and Maxillofacial Surgery (Dentist) · Daly City, CA

NPI number 1265740781 Active

Practice location

1655 Southgate Ave Ste 200
Daly City, CA 94015-2302

Mailing address

301 The Alameda Unit 370
San Juan Bautista, CA 95045-7012

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X59576 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1265740781

Aragon Ellwanger's National Provider Identifier is 1265740781, issued on Sep 17, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Daly City, CA. The record was last updated on Mar 6, 2023.