| NPI | 1972636835 |
|---|---|
| Doing Business As | EASTSIDE FAMILY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN KEARNEHY Clinical Services Director 805-968-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 050000113) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |