Jennifer Blake Eli, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Lake Forest, CA
- NPI
- 1205103652
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 52601 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-11-29
- Last updated
- 2011-11-29
Practice location
23321 El Toro Rd, Sutie D
Lake Forest, CA 92630-4825
(949) 735-3259