| Universal Dental Studio | |
|
81812 Doctor Carreon Blvd Ste B Indio CA 92201-5594 | |
| (760) 296-1865 | |
| (760) 775-5815 |
| Full Name | Universal Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 81812 Doctor Carreon Blvd Ste B, Indio, California |
| Authorized Official Name and Position | Sehyung Jang (CEO) |
| Authorized Official Contact | 9096542757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Dental Studio 81812 Doctor Carreon Blvd Ste B Indio CA 92201-5594 Ph: (760) 296-1865 | Universal Dental Studio 81812 Doctor Carreon Blvd Ste B Indio CA 92201-5594 Ph: (760) 296-1865 |
| NPI Number | 1962120469 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962120469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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