| Lakefront Family Dentistry | |
|
31571 Canyon Estates Dr Ste 117 Lake Elsinore CA 92532-0471 | |
| (951) 244-9495 | |
| Not Available |
| Full Name | Lakefront Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, California |
| Authorized Official Name and Position | Lisa Harrison (OFFICE ADMIN) |
| Authorized Official Contact | 9512449495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakefront Family Dentistry 31571 Canyon Estates Dr Ste 117 Lake Elsinore CA 92532-0471 Ph: (951) 244-9495 | Lakefront Family Dentistry 31571 Canyon Estates Dr Ste 117 Lake Elsinore CA 92532-0471 Ph: (951) 244-9495 |
| NPI Number | 1619469194 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619469194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41083 (California) | Primary |
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