Search › California › 122300000X
Ellis Back, DDS
NPI 1841064094 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3587 Sonoma Blvd
Vallejo, CA 94590 - Phone
- (925) 683-4799
- Organisation at this address
- Western Dental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California