| NPI | 1780299891 |
|---|---|
| Doing Business As | PALM DESERT DENTIST |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Credentialing Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-11-17 |