| Jeffeson Dental | |
|
79800 Highway 111 Ste 109 La Quinta CA 92253-6003 | |
| (760) 775-0600 | |
| (760) 775-0663 |
| Full Name | Jeffeson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 79800 Highway 111 Ste 109, La Quinta, California |
| Authorized Official Name and Position | Syeda Shabnam Huq (OWNER/ DENTIST) |
| Authorized Official Contact | 7607750600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffeson Dental 79800 Highway 111 Ste 109 La Quinta CA 92253-6003 Ph: (760) 775-0600 | Jeffeson Dental 79800 Highway 111 Ste 109 La Quinta CA 92253-6003 Ph: (760) 775-0600 |
| NPI Number | 1023699048 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023699048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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