| Matt T Jam Dds Inc | |
|
81730 Hwy 111 Suite 8 Indio CA 92201 | |
| (760) 347-7505 | |
| (760) 347-6425 |
| Full Name | Matt T Jam Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 81730 Hwy 111 Suite 8, Indio, California |
| Authorized Official Name and Position | Matt Teimouri Jam (OWNER) |
| Authorized Official Contact | 6703477505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt T Jam Dds Inc 81730 Hwy 111 Suite 8 Indio CA 92201 Ph: (760) 347-7505 | Matt T Jam Dds Inc 81730 Hwy 111 Suite 8 Indio CA 92201 Ph: (760) 347-7505 |
| NPI Number | 1558565606 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558565606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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