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Dr. Jacob Elisha, DDS
Periodontist in Los Angeles, California
NPI 1144591462

Jacob Elisha is a Periodontist based in Los Angeles, CA and is specialized in Periodontics. Jacob Elisha practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Jacob Elisha is 1144591462 and holds a License No. 36239 (California).

The current practice location address for Jacob Elisha is 11600 Wilshire Blvd Ste 504, Los Angeles, CA and can be reached out via phone at 310-231-5100 and via fax at 310-231-0024.

Location: 11600 Wilshire Blvd Ste 504, Los Angeles, CA, 90025-1788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144591462
Provider Name
Jacob Elisha
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11600 Wilshire Blvd Ste 504, Los Angeles, CA, 90025-1788
Phone Number
310-231-5100
Fax Number
310-231-0024
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11600 Wilshire Blvd Ste 504
City
Los Angeles
State
California
Zip
90025-1788
Phone Number
310-231-5100
Fax Number
310-231-0024
person
Provider Business Mailing Address Details
Address
11600 Wilshire Blvd Ste 504
City
Los Angeles
State
California
Zip
90025-1788
Phone Number
310-231-5100
Fax Number
310-231-0024
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
36239 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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