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2503 E Lakeshore Dr Ste E Lake Elsinore CA 92530-4433 | |
| (951) 674-4800 | |
| (951) 674-4833 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2503 E Lakeshore Dr Ste E, Lake Elsinore, California |
| Authorized Official Name and Position | Maria E Welbourne (OFFICE MANAGER) |
| Authorized Official Contact | 9516744800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2503 E Lakeshore Dr Ste E Lake Elsinore CA 92530-4433 Ph: (951) 674-4800 | 2503 E Lakeshore Dr Ste E Lake Elsinore CA 92530-4433 Ph: (951) 674-4800 |
| NPI Number | 1972152676 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972152676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Pedro Luis Gonzalez Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31569 Canyon Estates Dr Ste 239, Lake Elsinore, CA 92532 Phone: 951-399-0900 Fax: 951-399-0948 | |
A Rincon Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 E Lakeshore Dr Ste E, Lake Elsinore, CA 92530 Phone: 951-674-4800 Fax: 951-674-4833 | |
W Rosenkranz Dmd Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29989 Canyon Hills Rd Ste 1702, Lake Elsinore, CA 92532 Phone: 951-988-0999 Fax: 951-526-2002 | |
David J Carlisle Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31737 Riverside Dr Ste B, Lake Elsinore, CA 92530 Phone: 951-674-8707 | |