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Organization
ELY HASANY DDS,INC.
Active
Organization
ELY HASANY DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELY HASANY (PRESIDENT)
(818) 888-6860
Entity
Organization
Contact information
Practice address
217 W LOS ANGELES AVE, MOORPARK, CA 93021-1867
(805) 529-0100
(805) 529-0102
Mailing address
217 W LOS ANGELES AVE, MOORPARK, CA 93021-1867
(805) 529-0100
(805) 529-0102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50605
CA
122300000X
Dentist
55987
CA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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