| Shodhan Dentistry | |
|
11213 Palm Dr Desert Hot Springs CA 92240 | |
| (760) 251-2666 | |
| (760) 251-7655 |
| Full Name | Shodhan Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 11213 Palm Dr, Desert Hot Springs, California |
| Authorized Official Name and Position | Keyur Shodhan (OWNER) |
| Authorized Official Contact | 7602512666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shodhan Dentistry 11213 Palm Dr Desert Hot Springs CA 92240 Ph: (760) 251-2666 | Shodhan Dentistry 11213 Palm Dr Desert Hot Springs CA 92240 Ph: (760) 251-2666 |
| NPI Number | 1376152264 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 0840680732 |
|---|---|
| Medicare Enrollment ID | O20211208002210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376152264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Keyur Shodhan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770640914 PECOS PAC ID: 6002236288 Enrollment ID: I20201009002016 |
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