Individual
JAIDAA ELBEZRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
113347
CA
1223D0004X
Dental Anesthesiology
Primary
113347
CA
1223G0001X
General Practice Dentistry
113347
CA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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