| Khaled Eissa Dds Inc | |
|
31737 Riverside Dr Ste B Lake Elsinore CA 92530-7890 | |
| (951) 674-8707 | |
| Not Available |
| Full Name | Khaled Eissa Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 31737 Riverside Dr Ste B, Lake Elsinore, California |
| Authorized Official Name and Position | Khaled Eissa (C.E.O.) |
| Authorized Official Contact | 7635878345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khaled Eissa Dds Inc 1935 Dainty Way Hemet CA 92545-8960 Ph: (763) 587-8345 | Khaled Eissa Dds Inc 31737 Riverside Dr Ste B Lake Elsinore CA 92530-7890 Ph: (951) 674-8707 |
| NPI Number | 1952745895 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952745895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59237 (California) | Primary |
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