Individual
DR. LIORA EIDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
78595 CA-111, LA QUINTA, CA 92253
(760) 771-0300
Mailing address
1626 HAMPTON RD, HAVERTOWN, PA 19083-2506
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58589
CA
Other
Enumeration date
06/19/2012
Last updated
04/23/2021
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