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69420 Ramon Rd Cathedral City CA 92234-3349 | |
| (760) 202-1171 | |
| (760) 202-1170 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 69420 Ramon Rd, Cathedral City, California |
| Authorized Official Name and Position | Cynthia Tak Kim (OWNER) |
| Authorized Official Contact | 7602021171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
69420 Ramon Rd Cathedral City CA 92234-3349 Ph: (760) 202-1171 | 69420 Ramon Rd Cathedral City CA 92234-3349 Ph: (760) 202-1171 |
| NPI Number | 1346658622 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346658622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45327 (California) | Primary |
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