Organization
JEFFREY A. ELO, DDS, MS, INC.
Active
Other names
South Coast Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLAN ELO DDS, MS (ORAL & MAXILLOFACIAL SURGEON)
(714) 556-7000
Entity
Organization
Contact information
Practice address
2740 S BRISTOL ST, SUITE 107, SANTA ANA, CA 92704-6209
(714) 556-7000
Mailing address
2740 S BRISTOL ST, SUITE 107, SANTA ANA, CA 92704-6209
(714) 556-7000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53209
CA
Other
Enumeration date
06/27/2007
Last updated
08/30/2007
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