Omar Eloustaz Dental Corporation
Omar Eloustaz Dental Corporation is a Dental Clinic/Center in Encino, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
16633 Ventura Blvd Ste 850Encino, CA 91436-1846
Phone: (818) 990-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1356033252 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omar Eloustaz — Chief Executive · (818) 579-3351 |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 9, 2023 |
| Mailing address | 12040 Neenach St, Sun Valley, CA 91352-3043 |
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