Individual
DR. CHRISTOPHER JOHN EITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11616 IBERIA PLACE, SAN DIEGO, CA 92128
(858) 676-5000
(858) 676-5016
Mailing address
11508 FRESHWIND COURT, SAN DIEGO, CA 92127
(858) 676-5000
(858) 676-5016
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
46180
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
46180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173912
UNITED CONCORDIA INS ORTH
—
01
—
809272
UNITED CONCORDIA INS
—
Enumeration date
11/29/2006
Last updated
09/11/2025
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