OMAR ELOUSTAZ DENTAL CORPORATION

ENCINO, CA
NPI1356033252
Entity TypeOrganization
Authorized ContactOMAR HARBEY ELOUSTAZ
Chief Executive
818-579-3351
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-05-22
Last Update Date2023-10-09
Business Address
OMAR ELOUSTAZ DENTAL CORPORATION
16633 VENTURA BLVD STE 850
ENCINO, CA 91436-1846
Phone number: 818-990-5900
Mailing Address
OMAR ELOUSTAZ DENTAL CORPORATION
12040 NEENACH ST
SUN VALLEY, CA 91352-3043
Phone number: 818-579-3351