Organization
BEZAD DENTAL GROUP PROFESSIONAL CORPORATION
Active
Other names
Elite Dental & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA BEZAD DMD (OWNER)
(323) 886-3368
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, SUITE 310, TARZANA, CA 91356-1351
(323) 886-3368
Mailing address
5620 WILBUR AVE, SUITE 310, TARZANA, CA 91356-1351
(323) 886-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54696
CA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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