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NPI Code Detail

MEDICARE: PALM SPRINGS DENTAL IMPLANT CENTER

MEDICARE: PALM SPRINGS DENTAL IMPLANT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center53656CA

General Provider Information

NPI Number : 1144739525
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM SPRINGS DENTAL IMPLANT CENTER
Provider Business Mailing Address
First Line : 1037 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4419
Country : US
Telephone Number : 760-325-1108
Fax Number :
Provider Business Practice Location Address
First Line : 1037 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4419
Country : US
Telephone Number : 760-325-1108
Fax Number :
Authorized Official
Title or Position : OFFICE ASSISTANT
Name : VALERIE A ROGERS
Credential :
Telephone Number : 951-677-5113
Provider Enumeration Date : 09/28/2017
Last Update Date : 07/21/2022

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Directions to “PALM SPRINGS DENTAL IMPLANT CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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