| Marc S. Elson Dds, A Professional Corporation | |
|
2125 E Thousand Oaks Blvd Suite C Thousand Oaks CA 91362-2942 | |
| (805) 495-3010 | |
| (805) 495-3024 |
| Full Name | Marc S. Elson Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2125 E Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Marc Stuart Elson (PRESIDENT) |
| Authorized Official Contact | 8054953010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc S. Elson Dds, A Professional Corporation 2125 E Thousand Oaks Blvd Suite C Thousand Oaks CA 91362-2942 Ph: (805) 495-3010 | Marc S. Elson Dds, A Professional Corporation 2125 E Thousand Oaks Blvd Suite C Thousand Oaks CA 91362-2942 Ph: (805) 495-3010 |
| NPI Number | 1356565014 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356565014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26055 (California) | Primary |
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