L R EVERSOLE A DENTAL CORPORATION

SAN DIEGO, CA
NPI1861452641
Entity TypeOrganization
Authorized ContactLEWIS R EVERSOLE
President
858-492-9500
Organization Subpart ?No
Primary Taxonomy1223P0106X Dentist Oral and Maxillofacial Pathology
Enumeration Date2006-03-24
Last Update Date2011-03-22
Business Address
L R EVERSOLE A DENTAL CORPORATION
9292 CHESAPEAKE DR STE 100
SAN DIEGO, CA 92123-1059
Phone number: 858-492-9500
Mailing Address
L R EVERSOLE A DENTAL CORPORATION
PO BOX 643
POWAY, CA 92074-0643
Phone number: 858-513-3889
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