Kalashini Miller Dds Pc | |
73929 Larrea St Ste 2 Palm Desert CA 92260-4305 | |
(760) 390-1030 | |
(760) 396-7952 |
Full Name | Kalashini Miller Dds Pc |
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Speciality | Clinic/Center |
Location | 73929 Larrea St Ste 2, Palm Desert, California |
Authorized Official Name and Position | Kalashini Miller (PRESIDENT) |
Authorized Official Contact | 3104883442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kalashini Miller Dds Pc 73929 Larrea St Ste 2 Palm Desert CA 92260-4305 Ph: (760) 390-1030 | Kalashini Miller Dds Pc 73929 Larrea St Ste 2 Palm Desert CA 92260-4305 Ph: (760) 390-1030 |
NPI Number | 1982340196 |
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Provider Enumeration Date | 05/10/2022 |
Last Update Date | 05/10/2022 |
Medicare PECOS PAC ID | 2769860980 |
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Medicare Enrollment ID | O20220531002025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982340196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Kalashini Amelia Miller |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1225780208 PECOS PAC ID: 3678951894 Enrollment ID: I20220615000054 |
Provider Name | Mohammad Reshad |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1477068906 PECOS PAC ID: 9638552656 Enrollment ID: I20220823003555 |
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