L R Eversole a Dental Corporation
L R Eversole a Dental Corporation provides Oral and Maxillofacial Pathology Dentistry in San Diego, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
9292 Chesapeake Dr Ste 100San Diego, CA 92123-1059 Not confirmed with CMS for 15 years — call before visiting
Phone: (858) 492-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Pathology Dentistry (primary) | Taxonomy 1223P0106X |
|---|
Record details
| NPI number | 1861452641 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lewis Eversole — President · (858) 492-9500 |
| Other names | Oral Pathology Diagnostic Services |
| NPI enumerated | March 24, 2006 |
| Last updated in NPPES | March 22, 2011 |
| Mailing address | Po Box 643, Poway, CA 92074-0643 |
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