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Organization
IGAL ELYASSI, D.D.S., INC.
Active
Organization
IGAL ELYASSI, D.D.S., INC.
Active
Other names
Wilshire Smile Studio Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGAL ELYASSI (OWNER)
(323) 937-5773
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, 1609, LOS ANGELES, CA 90048-5801
(323) 937-5773
(323) 937-9502
Mailing address
6200 WILSHIRE BLVD, 1609, LOS ANGELES, CA 90048-5801
(323) 937-5773
(323) 937-9502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54424
CA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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