NPI | 1952576456 |
---|---|
Other Name | SMILES OF EASTLAKE |
Entity Type | Organization |
Authorized Contact | ERIC JOHN R EUSEBIO Owner President 619-482-1962 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 43439) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2008-04-25 |