NPI 1053960575 · live from the CMS NPI Registry
A Rincon DDS INC
Dentist, General Practice in Lake Elsinore, CA. National Provider Identifier 1053960575, active.
NPI record
| NPI | 1053960575 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2503 E Lakeshore Dr Ste E, Lake Elsinore, CA 92530 |
| Practice phone | 951-674-4800 |
| Enumerated | September 6, 2019 |
| Last updated | September 6, 2019 |
| Authorized official | Maria Welbourne, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.