| Steven Geduld Dds Dental Corporation | |
|
73660 Civic Center Dr Ste B Twentynine Palms CA 92277-2582 | |
| (760) 361-8056 | |
| (760) 361-8058 |
| Full Name | Steven Geduld Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 73660 Civic Center Dr Ste B, Twentynine Palms, California |
| Authorized Official Name and Position | Michelle L Tilus (OFFICE MANAGER) |
| Authorized Official Contact | 7603618056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Geduld Dds Dental Corporation 73660 Civic Center Dr Ste B Twentynine Palms CA 92277-2582 Ph: (760) 361-8056 | Steven Geduld Dds Dental Corporation 73660 Civic Center Dr Ste B Twentynine Palms CA 92277-2582 Ph: (760) 361-8056 |
| NPI Number | 1235272246 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235272246 | NPI | - | NPPES |
| 844119 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 032959 (California) | Primary |
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