| Elzayat Dental Corporation | |
|
11335 Magnolia Blvd Suite # 1a North Hollywood CA 91601-4949 | |
| (818) 755-1588 | |
| Not Available |
| Full Name | Elzayat Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 11335 Magnolia Blvd, North Hollywood, California |
| Authorized Official Name and Position | Fadi Edmond Elzayat (PRESIDENT) |
| Authorized Official Contact | 8187551588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elzayat Dental Corporation 11335 Magnolia Blvd Suite # 1a North Hollywood CA 91601-4949 Ph: () - | Elzayat Dental Corporation 11335 Magnolia Blvd Suite # 1a North Hollywood CA 91601-4949 Ph: (818) 755-1588 |
| NPI Number | 1811218175 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811218175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57144 (California) | Primary |
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