| The School-aged Gap Elimination Initiative, Inc | |
|
82900 Avenue 42 Ste B103 Indio CA 92203-9657 | |
| (760) 578-4748 | |
| (760) 278-2172 |
| Full Name | The School-aged Gap Elimination Initiative, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 82900 Avenue 42 Ste B103, Indio, California |
| Authorized Official Name and Position | Javad Sage Aghaloo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7605784748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The School-aged Gap Elimination Initiative, Inc 82900 Avenue 42 Ste B103 Indio CA 92203-9657 Ph: (760) 578-4748 | The School-aged Gap Elimination Initiative, Inc 82900 Avenue 42 Ste B103 Indio CA 92203-9657 Ph: (760) 578-4748 |
| NPI Number | 1689025843 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689025843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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