| Naznin Bholat Dds, A Dental Corporation | |
|
31581 Canyon Estates Dr Ste 201 Lake Elsinore CA 92532-0424 | |
| (805) 405-1730 | |
| Not Available |
| Full Name | Naznin Bholat Dds, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31581 Canyon Estates Dr Ste 201, Lake Elsinore, California |
| Authorized Official Name and Position | Naznin Bholat (OWNER) |
| Authorized Official Contact | 8054051730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Naznin Bholat Dds, A Dental Corporation 31581 Canyon Estates Dr Ste 201 Lake Elsinore CA 92532-0424 Ph: () - | Naznin Bholat Dds, A Dental Corporation 31581 Canyon Estates Dr Ste 201 Lake Elsinore CA 92532-0424 Ph: (805) 405-1730 |
| NPI Number | 1891114609 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891114609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61123 (California) | Primary |
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