| Ej Dental & Orthodontics | |
|
31500 Grape St Ste 8 Lake Elsinore CA 92532-9702 | |
| (951) 302-1376 | |
| Not Available |
| Full Name | Ej Dental & Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31500 Grape St Ste 8, Lake Elsinore, California |
| Authorized Official Name and Position | Elvia Juarez-mata (PRESIDENT) |
| Authorized Official Contact | 9513021376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ej Dental & Orthodontics 82204 Us Highway 111 Suite A Indio CA 92201-5630 Ph: (760) 775-5552 | Ej Dental & Orthodontics 31500 Grape St Ste 8 Lake Elsinore CA 92532-9702 Ph: (951) 302-1376 |
| NPI Number | 1871926501 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871926501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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