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Organization
MICHEL ELYSON DDS & RAMIN ASSILI DDS,A PROFESSIONAL CORPORATION
Active
Organization
MICHEL ELYSON DDS & RAMIN ASSILI DDS,A PROFESSIONAL CORPORATION
Active
Parent organization
MICHEL H. ELYSON DDS & RAMIN ASSILI DDS APC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHEL H. ELYSON DDS & RAMIN ASSILI DDS APC
Authorized official
MICHEL H ELYSON (PRESIDENT)
(323) 263-2125
Entity
Organization
Contact information
Practice address
9535 RESEDA BLVD STE 203, NORTHRIDGE, CA 91324-6027
(818) 349-6379
(818) 349-7539
Mailing address
9535 RESEDA BLVD STE 203, NORTHRIDGE, CA 91324-6027
(818) 349-6373
(818) 349-7539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235272287
—
CA
05
—
1427187996
—
CA
Enumeration date
12/08/2017
Last updated
12/08/2017
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