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Individual

DR. JAD S ELKHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
248 PERKINS ST, SONOMA, CA 95476
(707) 938-2155
(707) 935-2142
Mailing address
248 PERKINS ST, SONOMA, CA 95476
(707) 938-2155
(707) 935-2142

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
52382
CA

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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