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Organization

DAVID ESRAELI DDS, PC

Active
Other names
David Esraeli DDS, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ESRAELI DDS (DOCTOR)
(818) 825-9006
Entity
Organization

Contact information

Practice address
17651 VANOWEN ST STE A, VAN NUYS, CA 91406-4353
(818) 600-8743
Mailing address
17651 VANOWEN ST STE A, VAN NUYS, CA 91406-4353
(818) 600-8743

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417435926
CA
Enumeration date
02/03/2020
Last updated
10/27/2022
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