DR. Lara Elijah, DDS

NPI #1184504805 in Mentone, California

Provider Information

NPI Number: 1184504805
Entity Type: Individual
Name: DR. Lara Elijah, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 10275 AGATE AVE
City: Mentone
State: California
ZIP Code: 92359-1378
Phone: (619) 792-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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