DR. Jennifer Blake Eli, D.M.D.
NPI #1205103652 in Lake Forest, California
Provider Information
- NPI Number
- 1205103652
- Entity Type
- Individual
- Name
- DR. Jennifer Blake Eli, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 29, 2011
- Last Updated
- Nov 29, 2011
Practice Location
- Address
- 23321 EL TORO RD
- Address 2
- SUTIE D
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-4825
- Phone
- (949) 735-3259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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