| South West Tmj Speciality Group | |
|
74976 Us Highway 111 Indian Wells CA 92210-7117 | |
| (760) 341-2873 | |
| (760) 341-2917 |
| Full Name | South West Tmj Speciality Group |
|---|---|
| Speciality | Dentist |
| Location | 74976 Us Highway 111, Indian Wells, California |
| Authorized Official Name and Position | Leonard Feld (OWNER) |
| Authorized Official Contact | 7603412873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South West Tmj Speciality Group 74976 Us Highway 111 Indian Wells CA 92210-7117 Ph: (760) 341-2873 | South West Tmj Speciality Group 74976 Us Highway 111 Indian Wells CA 92210-7117 Ph: (760) 341-2873 |
| NPI Number | 1659729358 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659729358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24774 (California) | Primary |