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EAST LAKE FAMILY DENTISTRY NPI 1508912858


NPI Information

NPI: 1508912858
Provider Name: EAST LAKE FAMILY DENTISTRY

Other Name: ROBERT EMAROON

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
970 EASTLAKE PKWY
SUITE 103
CHULA VISTA, CA
ZIP 91914
Phone: (619) 482-2920
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EAST LAKE FAMILY DENTISTRY is a general practice dentist in Chula Vista, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EAST LAKE FAMILY DENTISTRY NPI is 1508912858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Robert Emaroon.

The provider's business location address is:

970 EASTLAKE PKWY
SUITE 103
CHULA VISTA, CA
ZIP 91914-561
Phone: (619) 482-2920
Fax: (619) 482-2924

The provider's authorized official is Robert E Maroon .
The authorized official title is Dds and has the following contact phone number (619) 482-2920.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice43466CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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