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82935 Avenue 48 Ste 103 Indio CA 92201-6757 | |
(909) 576-7175 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 82935 Avenue 48 Ste 103, Indio, California |
Authorized Official Name and Position | Oh Jae Kwon (PRESIDENT) |
Authorized Official Contact | 9095767175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9675 Monte Vista Ave Ste G Montclair CA 91763-2213 Ph: (909) 576-7175 | 82935 Avenue 48 Ste 103 Indio CA 92201-6757 Ph: (909) 576-7175 |
NPI Number | 1356029433 |
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Provider Enumeration Date | 07/07/2023 |
Last Update Date | 09/22/2023 |
Identifier | Type | State | Issuer |
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1356029433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |