| NPI | 1609090968 |
|---|---|
| Doing Business As | INDIO SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R CHURCH President 760-396-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20615) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |