| Ely Hasany Dds,inc. | |
|
217 W Los Angeles Ave Moorpark CA 93021-1867 | |
| (805) 529-0100 | |
| (805) 529-0102 |
| Full Name | Ely Hasany Dds,inc. |
|---|---|
| Speciality | Dentist |
| Location | 217 W Los Angeles Ave, Moorpark, California |
| Authorized Official Name and Position | Ely Hasany (PRESIDENT) |
| Authorized Official Contact | 8188886860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ely Hasany Dds,inc. 217 W Los Angeles Ave Moorpark CA 93021-1867 Ph: (805) 529-0100 | Ely Hasany Dds,inc. 217 W Los Angeles Ave Moorpark CA 93021-1867 Ph: (805) 529-0100 |
| NPI Number | 1013345834 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 10/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013345834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50605 (California) | Primary |
| 122300000X | Dentist | 55987 (California) | Secondary |
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