Organization
ELITE SEDATION GENERAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ELMASRI DDS (DENTIST ANESTHESIOLOGIST)
(949) 288-3401
Entity
Organization
Contact information
Practice address
30262 CROWN VALLEY PKWY STE B447, LAGUNA NIGUEL, CA 92677-2364
(949) 288-3401
Mailing address
30262 CROWN VALLEY PKWY STE B447, LAGUNA NIGUEL, CA 92677-2364
(949) 288-3401
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790101244
—
CA
Enumeration date
06/17/2022
Last updated
06/17/2022
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