Provider Demographics
NPI:1538691654
Name:DR. JAMES C. LAJEVIC D.M.D. CORRECT CHOICE DENTAL
Entity Type:Organization
Organization Name:DR. JAMES C. LAJEVIC D.M.D. CORRECT CHOICE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAJEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:760-203-6525
Mailing Address - Street 1:199 N EL CAMINO REAL BLVD SUITE E
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:760-203-6525
Mailing Address - Fax:
Practice Address - Street 1:199 N EL CAMINO REAL BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:760-203-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65270305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service