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Organization
SCDP EASTLAKE, LLC
Active
Organization
SCDP EASTLAKE, LLC
Active
Parent organization
SILVER CREEK DENTAL PARTNERS, LLC
Other names
Macatangay Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SILVER CREEK DENTAL PARTNERS, LLC
Authorized official
BRAD STARKWEATHER (MANAGER)
(650) 922-0897
Entity
Organization
Contact information
Practice address
890 EASTLAKE PKWY STE 201, CHULA VISTA, CA 91914-4521
(619) 421-2828
Mailing address
23911 DANZIG BAY, DANA POINT, CA 92629-4407
(650) 922-0897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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