-- JOSHUA ELY --
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1528430121- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1411 EAST 31ST STREET, OAKLAND, CA, 94602
- Phone
- (510) 437-8525
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #64337