| NPI | 1306085246 |
|---|---|
| Doing Business As | INDIO DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MERCEDES J HERRERA President/ Dentist 760-342-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |