Individual
MS. ELYSE MICHELLE COP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
92 ESENCIA DR UNIT 835, RANCHO MISSION VIEJO, CA 92694-1363
(949) 933-0490
Mailing address
153 PATRIA, RANCHO MISSION VIEJO, CA 92694-1392
(949) 933-0490
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
27213
CA
125K00000X
Advanced Practice Dental Therapist
Primary
1016
CA
Other
Enumeration date
09/08/2023
Last updated
06/12/2025
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