Individual
AMEIR A ELTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3425
(510) 535-3302
(510) 536-9453
Mailing address
1601 FRUITVALE AVE, OAKLAND, CA 94601-2418
(510) 535-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS56950
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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