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68820 Ramon Rd Cathedral City CA 92234 | |
(760) 770-0236 | |
(760) 770-9758 |
Full Name | |
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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 |
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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 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134201361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 39405 (California) | Primary |
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