Individual
DR. DYANA EIDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2825 SANTA MONICA BLVD STE 310, SANTA MONICA, CA 90404-2429
(310) 828-0700
Mailing address
30702 HILLTOP WAY, SAN JUAN CAPISTRANO, CA 92675-2046
(949) 813-6296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS103849
CA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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