Provider Demographics
NPI:1144922543
Name:DANIEL ELBERT DDS
Entity type:Organization
Organization Name:DANIEL ELBERT DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-492-3553
Mailing Address - Street 1:2166 N MOORPARK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5011
Mailing Address - Country:US
Mailing Address - Phone:805-492-3553
Mailing Address - Fax:805-435-4123
Practice Address - Street 1:2166 N MOORPARK RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5010
Practice Address - Country:US
Practice Address - Phone:805-492-3553
Practice Address - Fax:805-435-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty