| El Cetro Dental | |
|
1111 S 4th St El Centro CA 92243-4741 | |
| (760) 336-2600 | |
| Not Available |
| Full Name | El Cetro Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 S 4th St, El Centro, California |
| Authorized Official Name and Position | Eddie Siman (OWNER) |
| Authorized Official Contact | 7603362600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Cetro Dental 1111 South 4th Street El Centro CA 92243 Ph: (760) 336-2600 | El Cetro Dental 1111 S 4th St El Centro CA 92243-4741 Ph: (760) 336-2600 |
| NPI Number | 1487870036 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 03/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487870036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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