| Sumabat Dental At Indio | |
|
43990 Golf Center Pkwy B-4 Indio CA 92203-5001 | |
| (760) 347-3767 | |
| Not Available |
| Full Name | Sumabat Dental At Indio |
|---|---|
| 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 |
|---|---|
| Sumabat Dental At Indio 43990 Golf Center Pkwy B-4 Indio CA 92203-5001 Ph: (760) 347-3767 | Sumabat Dental At Indio 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 |
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