Organization
DEREK B. HAUSER, DDS, INC.
Active
Other names
Lakefront Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HARRISON (OFFICE ADMIN)
(951) 244-9495
Entity
Organization
Contact information
Practice address
31571 CANYON ESTATES DR STE 117, LAKE ELSINORE, CA 92532-0471
(951) 244-9495
Mailing address
31571 CANYON ESTATES DR STE 117, LAKE ELSINORE, CA 92532-0471
(951) 244-9495
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41083
CA
Other
Enumeration date
05/31/2018
Last updated
12/04/2020
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