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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