Sunrise Dental Corp | |
1717 E Vista Chino Suite A-5 Palm Springs CA 92262 | |
(760) 416-0833 | |
(760) 416-1313 |
Full Name | Sunrise Dental Corp |
---|---|
Speciality | Dentist |
Location | 1717 E Vista Chino, Palm Springs, California |
Authorized Official Name and Position | William Juarez (DENTIST/OWNER) |
Authorized Official Contact | 7604645214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Dental Corp 1717 E Vista Chino #5 Palm Springs CA 92262 Ph: (760) 416-0833 | Sunrise Dental Corp 1717 E Vista Chino Suite A-5 Palm Springs CA 92262 Ph: (760) 416-0833 |
NPI Number | 1376552869 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376552869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 45272CA (California) | Primary |
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