Individual
MS. CELESTE MARIE ECKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2074 LAKE TAHOE BLVD, SUITE 4, SOUTH LAKE TAHOE, CA 96150-6407
(530) 541-4640
(530) 541-3853
Mailing address
2074 LAKE TAHOE BLVD, SUITE 4, SOUTH LAKE TAHOE, CA 96150-6407
(530) 541-4640
(530) 541-3853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56285
CA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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