| Elvia Juarez A Dental Corporation | |
|
2191 W. Esplanade Ave Suite 106 San Jacinto CA 92582 | |
| (760) 775-5552 | |
| Not Available |
| Full Name | Elvia Juarez A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2191 W. Esplanade Ave, San Jacinto, California |
| Authorized Official Name and Position | Elvia Juarez Mata (DENTIST) |
| Authorized Official Contact | 7607755552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elvia Juarez A Dental Corporation 82204 Us Highway 111 Indio CA 92201-5630 Ph: (760) 775-5552 | Elvia Juarez A Dental Corporation 2191 W. Esplanade Ave Suite 106 San Jacinto CA 92582 Ph: (760) 775-5552 |
| NPI Number | 1518553809 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518553809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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