M Elder D D S a Professional Corporation
NPI #1760633341 in Pinole, California
Provider Information
- NPI Number
- 1760633341
- Entity Type
- Organization
- Organization Name
- M Elder D D S a Professional Corporation
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 1, 2008
- Last Updated
- Aug 18, 2016
Practice Location
- Address
- 2150 APPIAN WAY STE 201
- Address 2
- PINOLE ORAL SURGERY
- City
- Pinole
- State
- California
- ZIP Code
- 94564-2520
- Phone
- (510) 724-3922
Authorized Official
- Name
- DR. MAHR FAIRUKE ELDER, DDS, MD
- Title
- PRESIDENT / CEO
- Phone
- (415) 892-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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