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51335 Harrison St Suite 107 Coachella CA 92236 | |
| (760) 398-9848 | |
| (760) 398-9877 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 51335 Harrison St, Coachella, California |
| Authorized Official Name and Position | Elvia Juarez Mata (DENTIST) |
| Authorized Official Contact | 7603989848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
51335 Harrison St Suite 107 Coachella CA 92236 Ph: (760) 398-9848 | 51335 Harrison St Suite 107 Coachella CA 92236 Ph: (760) 398-9848 |
| NPI Number | 1205906872 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205906872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41625 (California) | Primary |
All Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49621 Harrison St, Coachella, CA 92236 Phone: 760-398-5644 | |
Bradley K. Silva D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51800 Harrison St Ste 1, Coachella, CA 92236 Phone: 760-398-8108 Fax: 760-398-8901 | |