| Dap Health-woolcott Dental Clinic | |
|
590 Palm Canyon Dr. 212 Borrego Springs CA 92004-2369 | |
| (760) 767-5112 | |
| (760) 767-5613 |
| Full Name | Dap Health-woolcott Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 590 Palm Canyon Dr., Borrego Springs, California |
| Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7603232118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dap Health-woolcott Dental Clinic 1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | Dap Health-woolcott Dental Clinic 590 Palm Canyon Dr. 212 Borrego Springs CA 92004-2369 Ph: (760) 767-5112 |
| NPI Number | 1093251910 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093251910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |