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42250 Jackson St Suite #102 Indio CA 92203-9783 | |
| (760) 238-4011 | |
| (760) 347-5084 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 42250 Jackson St, Indio, California |
| Authorized Official Name and Position | Shorouq Sahawneh (OWNER DENTIST) |
| Authorized Official Contact | 7602384011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Drive Ste 100 Irvine CA 92618 Ph: (714) 578-6358 | 42250 Jackson St Suite #102 Indio CA 92203-9783 Ph: (760) 238-4011 |
| NPI Number | 1477938231 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477938231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81735 Us Highway 111, Indio, CA 92201 Phone: 760-391-4466 Fax: 760-342-1823 | |
Hovsep Nargizyan, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81637 Highway 111, Suite #1, Indio, CA 92201 Phone: 760-342-1448 Fax: 760-342-2778 | |
Hovsep Nargizyan Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81637 Highway 111, Suite #1, Indio, CA 92201 Phone: 760-342-1448 Fax: 760-342-2778 | |