JENNIFER BLAKE ELI

LAKE FOREST, CA
NPI1205103652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  52601)
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
Dr. JENNIFER BLAKE ELI D.M.D.
23321 EL TORO RD SUTIE D
LAKE FOREST, CA 92630-4825
Phone number: 949-735-3259
Mailing Address
Dr. JENNIFER BLAKE ELI D.M.D.
26676 CARRANZA DR
MISSION VIEJO, CA 92691-4944
Phone number: