| NPI | 1194572198 |
|---|---|
| Doing Business As | EASTLAKE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BARBARA MARRA VP 949-545-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |