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Provider Information for 1417135609



DR. ELMIRA ELAHI D.M.D

Gender: FEMALE

Individual NPI: 1417135609

Calendar Last Updated: 2008-02-10

Details

Name Value
NPI 1417135609
Enumeration Date 2008-02-10
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 8 GIVERNY
NEWPORT COAST, CA 92657-1006
United States

Phone: 949-629-9011 | Fax:
View Map External Link
Primary Practice Address 8 GIVERNY
NEWPORT COAST, CA 92657-1006
United States

Phone: 949-629-9011 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 56753