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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 56753
Other Identifiers
Issuer State Number