Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dentists at Lakeside, Prof Corp

Organization General Practice Dentistry · NPI 1467389460

Dentists at Lakeside, Prof Corp is a General Practice Dentistry in Corona, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2798 Pronio Cir
Corona, CA 92883
Phone: (951) 482-7093
Fax: (951) 547-0363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1467389460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Enciso — Owner · (951) 482-7093
Other names Dentists At Lakeside
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateApril 30, 2026
Mailing addressPo Box 660041, Dallas, TX 75266-0041

Other providers in Corona