| Scdp Eastlake, Llc | |
|
890 Eastlake Pkwy Ste 201 Chula Vista CA 91914-4521 | |
| (619) 421-2828 | |
| Not Available |
| Full Name | Scdp Eastlake, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 890 Eastlake Pkwy Ste 201, Chula Vista, California |
| Authorized Official Name and Position | Brad Starkweather (MANAGER) |
| Authorized Official Contact | 6509220897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scdp Eastlake, Llc 23911 Danzig Bay Dana Point CA 92629-4407 Ph: (650) 922-0897 | Scdp Eastlake, Llc 890 Eastlake Pkwy Ste 201 Chula Vista CA 91914-4521 Ph: (619) 421-2828 |
| NPI Number | 1407430630 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407430630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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