EDUARDO DIAZ DENTAL CORPORATION NPI 1821223934

NPI Information

EDUARDO DIAZ DENTAL CORPORATION is a dental clinic center in Chula Vista, CA. EDUARDO DIAZ DENTAL CORPORATION NPI is 1821223934. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastlake Implant & Laser Dentistry.

The provider's business location address is:

890 EASTLAKE PKWY
SUITE 303
CHULA VISTA, CA
ZIP 91914-520
Phone: (619) 216-0111
Fax: (619) 216-7081

The provider's authorized official is Eduardo Diaz .
The authorized official title is President and has the following contact phone number (619) 216-0111.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 8/4/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.