Marc S. Elson DDS, a Professional Corporation
Organization Active NPI General Practice Dentistry · Thousand Oaks, CA
NPI 1356565014 · NPPES record last updated Jan 14, 2010
Key facts
- NPI
- 1356565014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 26055 (CA)
- Legal business name
- MARC S. ELSON DDS, A PROFESSIONAL CORPORATION
- Practice address
- 2125 E Thousand Oaks Blvd
Suite C
Thousand Oaks, CA 91362-2942 - Phone
- (805) 495-3010
- Fax
- (805) 495-3024
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc Stuart Elson, DDS
- Title
- President
- Phone
- (805) 495-3010
National Provider Directory
Locations
2125 E Thousand Oaks Blvd
Ste C
Thousand Oaks, CA 91362
Phone (805) 495-3010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 26055 | CA | Yes |
Addresses
Primary practice location
2125 E Thousand Oaks Blvd
Suite C
Thousand Oaks, CA 91362-2942
Mailing address
2125 E Thousand Oaks Blvd
Suite C
Thousand Oaks, CA 91362-2942
Phone (805) 495-3010
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- Gayle Ann Marano-Brown
- Margaret Gustavson MFT
- Peter Ira Margolis
- Andrew R Marinkovich Jr.
- Mark D Suski MD a Professional Corporation
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All providers in Thousand Oaks, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.