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Organization

RAMYAR ELYASSIAN DDS INC

Active
Other names
Dental Implant & Laser Surgical Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMYAR ELYASSIAN DDS (PERIODONTIST/PRESIDENT)
(714) 730-3746
Entity
Organization

Contact information

Practice address
12721 NEWPORT AVE STE 3, TUSTIN, CA 92780-8031
(714) 730-3746
(714) 730-3740
Mailing address
12721 NEWPORT AVE STE 3, TUSTIN, CA 92780-8031
(714) 730-3746
(714) 730-3740

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49877
CA

Other

Enumeration date
12/02/2010
Last updated
12/02/2010
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