Provider Demographics
NPI:1932467412
Name:ELIAHU, CINDY G (DDS)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:G
Last Name:ELIAHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8265 VILLAGE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-1254
Mailing Address - Country:US
Mailing Address - Phone:925-833-0500
Mailing Address - Fax:
Practice Address - Street 1:8265 VILLAGE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-1254
Practice Address - Country:US
Practice Address - Phone:925-833-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist