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Omar Eloustaz Dental Corporation
Dental Clinic/Center in Encino, California
NPI 1356033252

Omar Eloustaz Dental Corporation is a Dental Clinic/Center based in Sun Valley, CA and is specialized in Dental. Omar Eloustaz Dental Corporation practices in Encino, CA. The NPI Number for Omar Eloustaz Dental Corporation is 1356033252 and holds a License No. (California).

The current practice location address for Omar Eloustaz Dental Corporation is 16633 Ventura Blvd Ste 850, Encino, CA and can be reached out via phone at 818-990-5900.

Location: 16633 Ventura Blvd Ste 850, Encino, CA, 91352-3043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356033252
Provider Name
Omar Eloustaz Dental Corporation
Credential
Provider Entity Type
Organization
Address
16633 Ventura Blvd Ste 850, Encino, CA, 91352-3043
Phone Number
818-990-5900
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16633 Ventura Blvd Ste 850
City
Encino
State
California
Zip
91436-1846
Phone Number
818-990-5900
Fax Number
person
Provider Business Mailing Address Details
Address
16633 Ventura Blvd Ste 850
City
Encino
State
California
Zip
91436-1846
Phone Number
818-990-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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