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RODNEY HOWDEN ELLISON D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1316036775
Individual Registrant: RODNEY HOWDEN ELLISON D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
995 DOWDELL LN SAINT HELENA, CA 94574-1451 US
Tel: 707-963-4611 Fax: 707-963-1436
Tel: 707-963-4611 Fax: 707-963-1436
Contact information for business:
995 DOWDELL LN SAINT HELENA, CA 94574-1451 US
Tel: 707-963-4611 Fax: 707-963-1436
Tel: 707-963-4611 Fax: 707-963-1436
Registration Information:
NPI: 1316036775
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 27985 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
