Organization
ELGAZAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ELGAZAR DDS (OWNER)
(714) 838-1199
Entity
Organization
Contact information
Practice address
14051 NEWPORT AVE STE B2, TUSTIN, CA 92780-5171
(714) 838-1199
(714) 838-1018
Mailing address
14051 NEWPORT AVE STE B2, TUSTIN, CA 92780-5171
(714) 838-1199
(714) 838-1018
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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