| Annette Bak Moranda Dds, A Dental Corporation | |
|
40055 Bob Hope Dr Suite G Rancho Mirage CA 92270-3937 | |
| (760) 321-8003 | |
| (760) 321-9584 |
| Full Name | Annette Bak Moranda Dds, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40055 Bob Hope Dr, Rancho Mirage, California |
| Authorized Official Name and Position | Annette Bak Moranda (OWNER) |
| Authorized Official Contact | 7603218003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Bak Moranda Dds, A Dental Corporation 40055 Bob Hope Dr Suite G Rancho Mirage CA 92270-3937 Ph: (760) 321-8003 | Annette Bak Moranda Dds, A Dental Corporation 40055 Bob Hope Dr Suite G Rancho Mirage CA 92270-3937 Ph: (760) 321-8003 |
| NPI Number | 1679741367 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679741367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48701 (California) | Primary |
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