Organization
CARPIO DENTAL CORPORATION
Active
Other names
Eastlake Modern Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIANO NAVEJAS CARPIO DDS (DDS/OWNER)
(619) 348-5324
Entity
Organization
Contact information
Practice address
1690 MILLENIA AVE STE 102, CHULA VISTA, CA 91915-2889
(619) 348-5324
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
02/04/2022
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