Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARA ELIJAH, DDS
Active Sole ProprietorDR. LARA ELIJAH, DDS is a Dentist healthcare provider located in MENTONE, California. NPI 1184504805 is currently active in the NPPES registry. Verify at CMS.
Dentist · MENTONE, CA
Registration Details
- NPI Number
- 1184504805
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2025 (0.76472764050276 yrs)
- Last Updated
- Sep 3, 2025
- License
-
112342 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10275 AGATE AVEMENTONE, CA, 923591378Browse CA providers · Browse ZIP 92359
- Phone
- 6197924321
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.