| Eli Orthodontics | |
|
21791 Lake Forest Dr Suite 204 Lake Forest CA 92630-2760 | |
| (949) 855-8480 | |
| Not Available |
| Full Name | Eli Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 21791 Lake Forest Dr, Lake Forest, California |
| Authorized Official Name and Position | John T Eli (ORTHODONTIST) |
| Authorized Official Contact | 9498558480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eli Orthodontics 21791 Lake Forest Dr Suite 204 Lake Forest CA 92630-2760 Ph: (949) 855-8480 | Eli Orthodontics 21791 Lake Forest Dr Suite 204 Lake Forest CA 92630-2760 Ph: (949) 855-8480 |
| NPI Number | 1295914158 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295914158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 52381 (California) | Primary |
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