| Lakeside Dental Group | |
|
42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951 | |
| (909) 866-0606 | |
| (909) 866-5546 |
| Full Name | Lakeside Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 42002 Fox Farm Road #101, Big Bear Lake, California |
| Authorized Official Name and Position | Phil Jae Ra (DENTIST) |
| Authorized Official Contact | 9098660606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental Group Po Box 6951 42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951 Ph: (909) 866-0606 | Lakeside Dental Group 42002 Fox Farm Road #101 Big Bear Lake CA 92315-6951 Ph: (909) 866-0606 |
| NPI Number | 1457476137 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457476137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Bear Valley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41628 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-866-2646 Fax: 909-866-1796 | |
James Kim Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Rd., #101, Big Bear Lake, CA 92315 Phone: 909-866-0606 Fax: 909-866-5546 | |
Big Bear Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42169-c Big Bear Blvd., Big Bear Lake, CA 92315 Phone: 909-866-1030 Fax: 909-866-9990 |