Organization
JEAN-JACQUES ELBAZ DDS MS A PROF DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RIVAS (RECEPTIONIST)
(310) 274-0456
Entity
Organization
Contact information
Practice address
9465 WILSHIRE BLVD STE 450, BEVERLY HILLS, CA 90212-2614
(310) 274-0456
Mailing address
9465 WILSHIRE BLVD STE 450, BEVERLY HILLS, CA 90212-2614
(310) 274-0456
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
08/02/2021
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