| |
81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 | |
(760) 972-4705 | |
(760) 972-4276 |
Full Name | |
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Speciality | Dentist |
Location | 81800 Dr Carreon Blvd Ste D, Indio, California |
Authorized Official Name and Position | Aury A Lourenco (PRESIDENT) |
Authorized Official Contact | 7143731300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 Ph: (760) 972-4705 | 81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 Ph: (760) 972-4705 |
NPI Number | 1609237056 |
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Provider Enumeration Date | 03/14/2016 |
Last Update Date | 05/09/2016 |
Identifier | Type | State | Issuer |
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1609237056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 56298 (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 | |