| NPI | 1124426788 |
|---|---|
| Doing Business As | PALM SPRINGS DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT SHEPHERD Owner 760-808-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 51451) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |