|
| |
|
43990 Golf Center Pkwy B-4 Indio CA 92203-5001 | |
| (760) 347-3767 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 43990 Golf Center Pkwy, Indio, California |
| Authorized Official Name and Position | Ramon Sumabat (PRESIDENT) |
| Authorized Official Contact | 7603206230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
43990 Golf Center Pkwy B-4 Indio CA 92203-5001 Ph: (760) 347-3767 | 43990 Golf Center Pkwy B-4 Indio CA 92203-5001 Ph: (760) 347-3767 |
| NPI Number | 1033433867 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 09/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033433867 | NPI | - | NPPES |
| BS42426-3 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42426 (California) | Primary |
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 | |
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 | |