| Eastlake Village Dental Center | |
|
2260 Otay Lakes Rd Suite 110 Chula Vista CA 91915-1005 | |
| (619) 421-5500 | |
| (619) 656-4320 |
| Full Name | Eastlake Village Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2260 Otay Lakes Rd, Chula Vista, California |
| Authorized Official Name and Position | Robert Douglas Campbell (OWNER) |
| Authorized Official Contact | 6194215500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastlake Village Dental Center 2260 Otay Lakes Rd Suite 110 Chula Vista CA 91915-1005 Ph: (619) 421-5500 | Eastlake Village Dental Center 2260 Otay Lakes Rd Suite 110 Chula Vista CA 91915-1005 Ph: (619) 421-5500 |
| NPI Number | 1538223680 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538223680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40060 (California) | Primary |
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