Individual
ELGAN PITTS STAMPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1370 FOOTHILL BLVD, SUITE 200, LA CANADA, CA 91011-2150
(818) 925-8183
(818) 952-6437
Mailing address
1370 FOOTHILL BLVD, SUITE 200, LA CANADA, CA 91011-2150
(818) 925-8183
(818) 952-6437
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24870
CA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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