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 | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
1223E0200X Dentist, Endodontics | |
1223P0300X Dentist, Periodontics | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |