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Organization
HUSAM ELIAS MD DMD INC
Active
Organization
HUSAM ELIAS MD DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM ELIAS MD DMD FACS (PRESIDENT)
(818) 789-6622
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 102, SHERMAN OAKS, CA 91403-1715
(818) 789-6622
Mailing address
4910 VAN NUYS BLVD, SUITE 102, SHERMAN OAKS, CA 91403-1715
(818) 789-6622
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A113977
CA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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