East Lake Village Dental | |
20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 | |
(714) 695-9530 | |
Not Available |
Full Name | East Lake Village Dental |
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Speciality | Dentist |
Location | 20429 Yorba Linda Blvd, Yorba Linda, California |
Authorized Official Name and Position | Velia Fuentes (OFFICE MANAGER) |
Authorized Official Contact | 7146959530 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Lake Village Dental 20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 Ph: (714) 695-9530 | East Lake Village Dental 20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 Ph: (714) 695-9530 |
NPI Number | 1144611211 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |
Identifier | Type | State | Issuer |
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1144611211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 44744 (California) | Primary |
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