| Lakeshore Family Dentistry | |
|
16738 Lakeshore Dr Ste D Lake Elsinore CA 92530-4933 | |
| (951) 245-7374 | |
| (951) 245-6525 |
| Full Name | Lakeshore Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 16738 Lakeshore Dr Ste D, Lake Elsinore, California |
| Authorized Official Name and Position | Roopa S Gowda (PRESIDENT) |
| Authorized Official Contact | 9515225492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Dentistry 16738 Lakeshore Dr Ste D Lake Elsinore CA 92530-4933 Ph: (951) 245-7374 | Lakeshore Family Dentistry 16738 Lakeshore Dr Ste D Lake Elsinore CA 92530-4933 Ph: (951) 245-7374 |
| NPI Number | 1356567317 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356567317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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