Provider Demographics
NPI:1972665222
Name:ESLA, ALAN AFSHIN (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:AFSHIN
Last Name:ESLA
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:500 OLD RIVER RD
Mailing Address - Street 2:SUITE# 275
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9504
Mailing Address - Country:US
Mailing Address - Phone:661-616-0202
Mailing Address - Fax:661-616-0203
Practice Address - Street 1:500 OLD RIVER RD
Practice Address - Street 2:SUITE# 275
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9504
Practice Address - Country:US
Practice Address - Phone:661-616-0202
Practice Address - Fax:661-616-0203
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2012-09-07
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Provider Licenses
StateLicense IDTaxonomies
CAA76953204E00000X
CA435291223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery