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Search › California › 122300000X

Jack Elder, DDS

NPI 1164509832 · on the registry since 2006

Practice

Address
172 East D Street
Benicia, CA 94510
Phone
(707) 745-3820
Fax
(707) 746-5196
Organisation at this address
Downtown Dental Benica
Yan Kalika Dental Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California