Individual
DR. BACHAR ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 TRUMAN ST, SUITE A, SAN FERNANDO, CA 91340-3237
(818) 898-1434
Mailing address
9837 TUJUNGA CANYON PL, TUJUNGA, CA 91042-2910
(818) 352-4524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54459
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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