Bradley Eli La Office

NPI #1306538681 in Tarzana, California

Provider Information

NPI Number: 1306538681
Entity Type: Organization
Organization Name: Bradley Eli La Office
Subpart: Yes (part of a larger organization)
Parent Organization: BRADLEY A. ELI DENTAL CORPORATION
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: May 24, 2023
Last Updated: Aug 24, 2023

Practice Location

Address: 18981 VENTURA BLVD FL 2
City: Tarzana
State: California
ZIP Code: 91356-3237
Phone: (844) 235-9881

Authorized Official

Name: DR. BRADLEY ALLEN ELI, DND
Title: CEO
Phone: (844) 235-9881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orofacial Pain — Orofacial Pain	1223X2210X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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