NPI | 1639120041 |
---|---|
Doing Business As | DESERT DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOSEPH A FOROOSH Owner 760-241-3336 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics |
Additional Taxonomies | 1223G0001X Dentist General Practice |
1223P0300X Dentist Periodontics | |
1223S0112X Dentist Oral and Maxillofacial Surgery | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |