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Organization
ELZAYAT DENTAL CORPORATION
Active
Organization
ELZAYAT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI EDMOND ELZAYAT DDS (PRESIDENT)
(818) 755-1588
Entity
Organization
Contact information
Practice address
11335 MAGNOLIA BLVD, SUITE # 1A, NORTH HOLLYWOOD, CA 91601-4949
(818) 755-1588
Mailing address
11335 MAGNOLIA BLVD, SUITE # 1A, NORTH HOLLYWOOD, CA 91601-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57144
CA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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