John T. Eli, D.m.d., M.s.d., Inc.

NPI #1295914158 in Lake Forest, California

Provider Information

NPI Number: 1295914158
Entity Type: Organization
Organization Name: John T. Eli, D.m.d., M.s.d., Inc.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 21791 LAKE FOREST DR
Address 2: SUITE 204
City: Lake Forest
State: California
ZIP Code: 92630-2760
Phone: (949) 855-8480

Authorized Official

Name: DR. JOHN T ELI, D.M.D., M.S.D.
Title: ORTHODONTIST
Phone: (949) 855-8480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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