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Organization

SEVAK ELYASPOOR DDS PROFESSIONAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEVAK ELYASPOOR DDS (PRESIDENT)
(818) 764-4679
Entity
Organization

Contact information

Practice address
12125 VANOWEN ST STE 2, NORTH HOLLYWOOD, CA 91605-5665
(818) 764-4679
(818) 764-6382
Mailing address
12125 VANOWEN ST STE 2, NORTH HOLLYWOOD, CA 91605-5665
(818) 764-4679
(818) 764-6382

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53593
CA

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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