Sheri And Raymond Cros Dental Corporation | |
71843 Highway 111 Ste A Rancho Mirage CA 92270-4418 | |
(760) 444-3202 | |
(760) 444-3229 |
Full Name | Sheri And Raymond Cros Dental Corporation |
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Speciality | Clinic/Center |
Location | 71843 Highway 111 Ste A, Rancho Mirage, California |
Authorized Official Name and Position | Raymond Cros (OWNER) |
Authorized Official Contact | 7604443202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sheri And Raymond Cros Dental Corporation 71843 Highway 111 Ste A Rancho Mirage CA 92270-4418 Ph: (760) 444-3202 | Sheri And Raymond Cros Dental Corporation 71843 Highway 111 Ste A Rancho Mirage CA 92270-4418 Ph: (760) 444-3202 |
NPI Number | 1073028197 |
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Provider Enumeration Date | 12/12/2017 |
Last Update Date | 12/12/2017 |
Medicare PECOS PAC ID | 6709132509 |
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Medicare Enrollment ID | O20180710001212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073028197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 56314 (California) | Primary |
Provider Name | Raymond Cros |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1134261001 PECOS PAC ID: 7517213317 Enrollment ID: I20180710001414 |
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