Organization
DAVID J CARLISLE DDS INC
Active
Other names
Lakeview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES CARLISLE DDS (OWNER)
(951) 522-4253
Entity
Organization
Contact information
Practice address
31737 RIVERSIDE DR STE B, LAKE ELSINORE, CA 92530-7890
(951) 674-8707
Mailing address
31737 RIVERSIDE DR STE B, LAKE ELSINORE, CA 92530-7890
(951) 674-8707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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