| NPI | 1538223680 |
|---|---|
| Doing Business As | EASTLAKE VILLAGE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS CAMPBELL Owner 619-421-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40060) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |