| Boyd Dental Corporation | |
|
44100 Jefferson St # D Suite 404 Indio CA 92201-2712 | |
| (760) 772-0214 | |
| (760) 772-0583 |
| Full Name | Boyd Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 44100 Jefferson St # D, Indio, California |
| Authorized Official Name and Position | Monica L Dubois (ADMINISTRATOR) |
| Authorized Official Contact | 7607720214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyd Dental Corporation 44100 Jefferson St # D Suite 404 Indio CA 92201-2712 Ph: (760) 772-0214 | Boyd Dental Corporation 44100 Jefferson St # D Suite 404 Indio CA 92201-2712 Ph: (760) 772-0214 |
| NPI Number | 1679773535 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679773535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38650 (California) | Primary |
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