| Sumabat Dental Corporation | |
|
285 S Palm Canyon Dr D-7 Palm Springs CA 92262-6355 | |
| (760) 320-2780 | |
| (760) 320-5790 |
| Full Name | Sumabat Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 285 S Palm Canyon Dr, Palm Springs, California |
| Authorized Official Name and Position | Ramon Sumabat (PRESIDENT) |
| Authorized Official Contact | 7603202780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumabat Dental Corporation 285 S Palm Canyon Dr D-7 Palm Springs CA 92262-6355 Ph: (760) 320-2780 | Sumabat Dental Corporation 285 S Palm Canyon Dr D-7 Palm Springs CA 92262-6355 Ph: (760) 320-2780 |
| NPI Number | 1043303746 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043303746 | NPI | - | NPPES |
| B42426-2 | Other | CA | DENTI-CAL |
| B42426-1 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42426 (California) | Primary |
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