| NPI | 1467389460 |
|---|---|
| Doing Business As | DENTISTS AT LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | JORGE ENCISO Owner 951-482-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |