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Organization

SHARIF ELBAYOUMY, DDS, INC

Active
Other names
e-orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARIF ELBAYOUMY DDS, MS (OWNER)
(714) 832-9151
Entity
Organization

Contact information

Practice address
26302 LA PAZ RD, SUITE 212, MISSION VIEJO, CA 92691-5313
(714) 832-9151
Mailing address
26302 LA PAZ RD, SUITE 212, MISSION VIEJO, CA 92691
(714) 832-9151

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50907
CA

Other

Enumeration date
01/11/2017
Last updated
01/18/2017
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