| Latin Family Dental | |
|
81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 | |
| (760) 972-4705 | |
| (760) 972-4276 |
| Full Name | Latin Family Dental |
|---|---|
| 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 |
|---|---|
| Latin Family Dental 81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 Ph: (760) 972-4705 | Latin Family Dental 81800 Dr Carreon Blvd Ste D Indio CA 92201-0608 Ph: (760) 972-4705 |
| NPI Number | 1609237056 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609237056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56298 (California) | Primary |
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