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68820 Ramon Rd Cathedral City CA 92234 | |
| (760) 770-0236 | |
| (760) 770-9758 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 68820 Ramon Rd, Cathedral City, California |
| Authorized Official Name and Position | Kenneth R Gallion (DENTIST OWNER PRESIDENT) |
| Authorized Official Contact | 7607700236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
68820 Ramon Rd Cathedral City CA 92234 Ph: (760) 770-0236 | 68820 Ramon Rd Cathedral City CA 92234 Ph: (760) 770-0236 |
| NPI Number | 1134201361 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134201361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39405 (California) | Primary |
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