Individual
DR. ELBERT TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14419 HAMLIN STREET, VAN NUYS, CA 91401-1410
(818) 902-0630
(818) 902-0108
Mailing address
14419 HAMLIN STREET, VAN NUYS, CA 91401-1410
(818) 902-0630
(818) 902-0108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34235
CA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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