| NPI | 1215986278 |
|---|---|
| Doing Business As | DENTAL ART DESIGNS AT EASTLAKE |
| Entity Type | Organization |
| Authorized Contact | JUAN ANDRE GOMES President 619-656-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45863) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |