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1356033252
OMAR ELOUSTAZ DENTAL CORPORATION
ENCINO, CA
NPI
1356033252
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Entity Type
Organization
Authorized Contact
OMAR HARBEY ELOUSTAZ
Chief Executive
818-579-3351
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-05-22
Last Update Date
2023-10-09
Business Address
OMAR ELOUSTAZ DENTAL CORPORATION
16633 VENTURA BLVD STE 850
ENCINO, CA 91436-1846
Phone number: 818-990-5900
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Mailing Address
OMAR ELOUSTAZ DENTAL CORPORATION
12040 NEENACH ST
SUN VALLEY, CA 91352-3043
Phone number: 818-579-3351
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