| NPI | 1952825648 |
|---|---|
| Doing Business As | DBA LAKE ELSINORE DENTAL GP |
| Entity Type | Organization |
| Authorized Contact | ROYA E LEVI Owner 951-677-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 29257) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |