Provider Demographics
NPI:1447677463
Name:ELENA MEYLIKER DDS. INC
Entity type:Organization
Organization Name:ELENA MEYLIKER DDS. INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYLIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-250-3757
Mailing Address - Street 1:2299 POST STREET #109
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-346-2664
Mailing Address - Fax:416-346-5780
Practice Address - Street 1:2186 GEARY BLVD. #104
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-250-3757
Practice Address - Fax:415-346-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty