| Desert Family Dentistry | |
|
1501 Ocotillo Drive Suite A El Centro CA 92243 | |
| (760) 337-8868 | |
| (760) 337-8898 |
| Full Name | Desert Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1501 Ocotillo Drive, El Centro, California |
| Authorized Official Name and Position | Golnar Sedghi Berenji (OWNER) |
| Authorized Official Contact | 7603378868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Family Dentistry 1501 Ocotillo Drive Suite A El Centro CA 92243 Ph: (760) 337-8868 | Desert Family Dentistry 1501 Ocotillo Drive Suite A El Centro CA 92243 Ph: (760) 337-8868 |
| NPI Number | 1134296429 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134296429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40776 (California) | Secondary |
| 122300000X | Dentist | 44256 (California) | Primary |
| 122300000X | Dentist | 25517 (California) | Secondary |
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