| Palm Springs Dental Practice | |
|
2150 E Tahquitz Canyon Way Suite #2 Palm Springs CA 92262-7045 | |
| (760) 416-1003 | |
| Not Available |
| Full Name | Palm Springs Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2150 E Tahquitz Canyon Way, Palm Springs, California |
| Authorized Official Name and Position | Jeffrey Scott Shepherd (OWNER) |
| Authorized Official Contact | 7608081554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Springs Dental Practice 2150 E Tahquitz Canyon Way Suite #2 Palm Springs CA 92262-7045 Ph: (760) 416-1003 | Palm Springs Dental Practice 2150 E Tahquitz Canyon Way Suite #2 Palm Springs CA 92262-7045 Ph: (760) 416-1003 |
| NPI Number | 1124426788 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124426788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51451 (California) | Primary |
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