| Desert Dental Group | |
|
19195 Us Highway 18 Suite 201 Apple Valley CA 92307-2545 | |
| (760) 242-0796 | |
| (760) 946-3814 |
| Full Name | Desert Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19195 Us Highway 18, Apple Valley, California |
| Authorized Official Name and Position | Joseph A Foroosh (OWNER) |
| Authorized Official Contact | 7602413336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Dental Group 19195 Us Highway 18 Suite 201 Apple Valley CA 92307-2545 Ph: (760) 242-0796 | Desert Dental Group 19195 Us Highway 18 Suite 201 Apple Valley CA 92307-2545 Ph: (760) 242-0796 |
| NPI Number | 1093765109 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093765109 | NPI | - | NPPES |
| G98266-04 | Other | CA | HEALTHY FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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