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Organization
EAST LAKE FAMILY DENTISTRY
Active
Organization
EAST LAKE FAMILY DENTISTRY
Active
Other names
Robert EMaroon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E MAROON D.D.S.,F.I.C.O.I (DDS)
(619) 482-2920
Entity
Organization
Contact information
Practice address
970 EASTLAKE PKWY, SUITE 103, CHULA VISTA, CA 91914-3561
(619) 482-2920
(619) 482-2924
Mailing address
970 EASTLAKE PKWY, SUITE 103, CHULA VISTA, CA 91914-3561
(619) 482-2920
(619) 482-2924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43466
CA
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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