Nash Sourial, DDS | |
79845 Highway 111, Suite 101, La Quinta, CA 92253-4758 | |
(760) 342-2258 | |
Not Available |
Full Name | Nash Sourial |
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Gender | Male |
Speciality | Dentist |
Location | 79845 Highway 111, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699931394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 57395 (California) | Primary |
Entity Name | Nash Sourial Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609202746 PECOS PAC ID: 0244646974 Enrollment ID: O20210304000996 |
Mailing Address | Practice Location Address |
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Nash Sourial, DDS Po Box 5393, La Quinta, CA 92248-5393 Ph: (760) 342-2258 | Nash Sourial, DDS 79845 Highway 111, Suite 101, La Quinta, CA 92253-4758 Ph: (760) 342-2258 |
Dr. Heather Hana Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 78595 Highway 111 Ste 300, La Quinta, CA 92253 Phone: 760-771-0300 | |
Dr. Morris Davidowitz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 61567 Toro Canyon Way, La Quinta, CA 92253 Phone: 650-580-4153 | |
Dr. Bruce Uy, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 79080 Shadow Trl, La Quinta, CA 92253 Phone: 760-619-4954 | |
Jaime Rojas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 78640 Highway 111, La Quinta, CA 92253 Phone: 760-564-0955 Fax: 760-564-4826 | |
Dr. Liora Eidelstein, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 78595 Ca-111, La Quinta, CA 92253 Phone: 760-771-0300 | |
Dr. David Michael Long, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 78461 Highway 111, La Quinta, CA 92253 Phone: 760-861-9599 | |
Dr. Richard W Zawadzki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 78595 Highway 111, Ste. 300, La Quinta, CA 92253 Phone: 760-771-0300 Fax: 760-771-0420 |