| Santa Maria Dental Office Elvia Juarez Dental Corporation | |
|
82204 Us Highway 111 Indio CA 92201-5630 | |
| (760) 775-5552 | |
| (760) 775-5002 |
| Full Name | Santa Maria Dental Office Elvia Juarez Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 82204 Us Highway 111, Indio, California |
| Authorized Official Name and Position | Elvia Juarez (DENTIST) |
| Authorized Official Contact | 7607755552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Dental Office Elvia Juarez Dental Corporation 82204 Us Highway 111 Indio CA 92201-5630 Ph: (760) 775-5552 | Santa Maria Dental Office Elvia Juarez Dental Corporation 82204 Us Highway 111 Indio CA 92201-5630 Ph: (760) 775-5552 |
| NPI Number | 1285796532 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 9133522147 |
|---|---|
| Medicare Enrollment ID | O20210728003801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285796532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41625 (California) | Primary |
| Provider Name | Elvia Juarez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689710626 PECOS PAC ID: 1153727474 Enrollment ID: I20210924001739 |
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 | |
Sumabat Dental At Indio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 43990 Golf Center Pkwy, B-4, Indio, CA 92203 Phone: 760-347-3767 | |
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 | |
Oasis Dental Group & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45841 Oasis St Ste 3, Indio, CA 92201 Phone: 760-408-6883 Fax: 760-342-0808 | |
Tran Truong Dds A Professional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 80120 Us Highway 111, Indio, CA 92201 Phone: 760-775-9901 Fax: 760-775-9902 |