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NPI Code Detail

MEDICARE: DR. STEVE ELDER D.D.S.

MEDICARE:  DR. STEVE  ELDER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry38836CA

General Provider Information

NPI Number : 1861806564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE ELDER D.D.S.
Provider Business Mailing Address
First Line : 600 N SEPULVEDA BLVD
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-5921
Country : US
Telephone Number : 310-937-6100
Fax Number : 310-937-6102
Provider Business Practice Location Address
First Line : 600 N SEPULVEDA BLVD
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-5921
Country : US
Telephone Number : 310-937-6100
Fax Number : 310-937-6102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2014
Last Update Date : 06/20/2014

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Directions to “ DR. STEVE ELDER D.D.S.” Practice Location

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