| 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 |