Eliza Berris, DDS
Dentist in Lake Forest, CA. Individual provider (NPI-1).
NPI number1639601578
StatusActive
Last updated in NPPESMar 30, 2017
Details
- NPI
- 1639601578
- Entity type
- Individual (NPI-1)
- Name
- Eliza Berris
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2017
- Last updated
- Mar 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 101107 | CA | Yes |
Practice location
22111 Timberline WayLake Forest, CA 92630-3431
Phone 949-975-9230
Mailing address
22111 Timberline WayLake Forest, CA 92630-3431
Phone 949-975-9230
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