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1912679358
OMAR HARBEY ELOUSTAZ
ENCINO, CA
NPI
1912679358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS106893)
Enumeration Date
2021-10-04
Last Update Date
2023-10-09
Business Address
Dr. OMAR HARBEY ELOUSTAZ DDS
16633 VENTURA BLVD STE 850
ENCINO, CA 91436-1846
Phone number: 818-990-5900
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Mailing Address
Dr. OMAR HARBEY ELOUSTAZ DDS
12040 NEENACH ST
SUN VALLEY, CA 91352-3043
Phone number: 818-579-3351
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