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Organization
ERIC JOHN R EUSEBIO DMD INC
Active
Organization
ERIC JOHN R EUSEBIO DMD INC
Active
Other names
Smiles of Eastlake
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHN R EUSEBIO DMD (OWNER PRESIDENT)
(619) 482-1962
Entity
Organization
Contact information
Practice address
2127 OLYMPIC PARKWAY, #1003, CHULA VISTA, CA 91915
(619) 482-1962
(619) 482-1417
Mailing address
2127 OLYMPIC PARKWAY, #1003, CHULA VISTA, CA 91915
(619) 482-1962
(619) 482-1417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43439
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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