Individual
DR. CHARLES M ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2151 SANTA CLARA AVE, ALAMEDA, CA 94501-2832
(510) 522-4545
(510) 522-4545
Mailing address
2151 SANTA CLARA AVE, ALAMEDA, CA 94501-2832
(510) 522-4545
(510) 522-4545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22149
CA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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