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Bradley Eli La Office
Orofacial Pain Dentist in Tarzana, California
NPI 1306538681

Bradley Eli La Office is a Orofacial Pain Dentist based in Tarzana, CA and is specialized in Orofacial Pain. Bradley Eli La Office practices in Tarzana, CA. The NPI Number for Bradley Eli La Office is 1306538681 and holds a License No. (California).

The current practice location address for Bradley Eli La Office is 18981 Ventura Blvd Fl 2, Tarzana, CA and can be reached out via phone at 844-235-9881 and via fax at 760-436-5123.

Location: 18981 Ventura Blvd Fl 2, Tarzana, CA, 91356-3237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306538681
Provider Name
Bradley Eli La Office
Credential
Provider Entity Type
Organization
Address
18981 Ventura Blvd Fl 2, Tarzana, CA, 91356-3237
Phone Number
844-235-9881
Fax Number
760-436-5123
Provider Enumeration Date
05/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
18981 Ventura Blvd Fl 2
City
Tarzana
State
California
Zip
91356-3237
Phone Number
844-235-9881
Fax Number
760-436-5123
person
Provider Business Mailing Address Details
Address
18981 Ventura Blvd Fl 2
City
Tarzana
State
California
Zip
91356-3237
Phone Number
844-235-9881
Fax Number
760-436-5123
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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